I hereby consent to the use of the personal information provided above by the Club administration. Only my name, phone numbers, and email address will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of Club and will not be shared outside the Club.

I hereby makes the following representations: (i) that I understand that the sport of curling is played on ice and requires physical fitness; (ii) that I possess such physical fitness; and (iii) that I understand that the risks of participating in any curling activity could involve serious injury or death.

In consideration of being allowed access to the Ice House (as defined below) as a participant in any curling activity in the Ice House, I for myself and my estate, successors, heirs, beneficiaries, administrators, trustees, representatives, and attorneys do hereby remise, release, acquit, and forever discharge the Curling Club of Houston, a Texas non-profit corporation (the “Club”); (ii) the United States Curling Association, Inc. (“USCA”); (iii) the respective successors and assigns or each of the Club and USCA (iv) the respective employees, officers, and directors, but only while acting in their capacity as such, of each of the Club and USCA (collectively, the “Releasee”) from any and all actions, causes of action, claims, demands, and liabilities, both in law and equity for damages and any court costs and legal expenses and fees associated therewith in the respect of physical, mental, and bodily injury occurring to me while participating in any curling activity in the Ice House prior to the Expiration Date (as defined below); provided, however, that in the event such injury was caused, in whole or in part, by the willful, intentional, reckless, or grossly negligent action or failure to take action of any Releasee, such Releasee shall not be so remised, released, acquitted, or discharged hereby; and provided, further, that nothing herein shall be deemed to limit or exclude any action, cause of action, claim, demand, liability, payment, reimbursement, other benefit, or any court costs or legal expenses and fees that I or my estate, successors, heirs, beneficiaries, administrators, trustees, representatives, and attorneys might have or seek against (a) the Club’s “Participant Medical Accident” insurance coverage, (b) any other participant participating in any curling activity in the Ice House, or (c) against any other person or entity other than a Releasee.

The Ice House shall mean the single room containing one sheet of ice in which the sport of curling is played in the building (Bellerive Ice Center) located at 7300 Bellerive, Houston, Texas.  The Expiration Date shall mean the date which is one (1) calendar year after the date the Release is executed below.

I certify that I am at least eighteen (18) years of age and have legal capacity to execute this Participant release on my own behalf, or if under 18 agree no to participate in curling activities without submitting a waiver signed by my parent or guardian.

I hereby revoke any and all releases of liability, waivers, and indemnifications previously executed be me in favor of the Releasees.

I hereby confirm that the information I have entered on this form is correct and true. I understand that if I have intentionally entered false information in this form to receive discounts that do not apply to me there will be a $25 administration charge on top of the outstanding membership dues owed.