Jumpstart Your Curling Year

Registration form for the Jumpstart Your Curling Year Event

Event date:  Saturday, October 15 and Sunday, October 16, 2022 at the Fort William Curling Club, 218 Vickars Street, Thunder Bay, P7C 6A3

We have space for all participants from novice to competitive and ages 6 and up, especially women, girls and members of visible minorities. 

There are two sessions each day and participants can register for 1, all 4 or any combination which meets their person schedule. Instruction will be provided by Trained Coaches/Instructors. 

No experience or special equipment is required - wear warm, stretchy clothes and clean running shoes.  Helmets are highly recommended for beginners under the age of 13 but helmets are not required.

Registrations will be accepted until October 11, 2022 at 12:00 pm EST.  

This is a FREE event presented by the Thunder Bay Youth Curling Council including the Port Arthur CC and the Kakabeka CC and hosted at the Fort William CC.  Generous support has been provided by the Northern Ontario Curling Association and the Ontario Curling Council.  Financial assistance has been received from the Canadian Tire Jumstart Charities, the Canadian Curling Association and Marks - Thunder Bay.

Additional event information will be sent to all registrants after the closure of the registration process.

Questions about this event should be sent to Dick Hendereson at dick_henderson2002@yahoo.com

Required fields are marked with a *
Please let us know if you have any specific dietary restrictions.
Please tell us more, if you selected "Other" in the previous question.
Please choose the sessions you would like to attend. You may attend more than one if you wish.

What is your current skill level in curling?

What gender do you identify with?

Which race or enthnicity do you identify with?

If you answered "Other" in the previous question, please provide more information if you wish.
Please provide the name(s) of a person or people you would like to be in a group with.


Requirements are specified for this form. If you do not have the required information at the time of registration you can update it on your profile later.
You may save your form without all requirements being uploaded, but they are all required for submission.
Rowan's Law - Concussion Awareness and Concussion Code of Conduct - Athletes

Athletes under the age of 27 must acknowledge annually that they have reviewed Concussion Awareness Resources and will adhere to the organization's Concussion Code of Conduct (Contained within the Concussion Policy - which can be found in the "materials" Section). Athletes under the age of 18 need to complete this requirement with their parent/guardian.

Required Information



 WARNING! Please read carefully.

This is a binding legal agreement. Clarify any questions or concerns before signing.

 This Agreement must be signed by the Participant and the Participant’s parent/guardian, when the Participant is younger than 18 years old, prior to participation.

1. As a participant in the sport of curling and the activities, programs, classes, services provided and events sponsored or

organized by Curling Canada, Northern Ontario Curling Association, Fort William Curling Club, including but not limited to:

games, tournaments, practices, training, personal training, dry land training, use of strength training and fitness conditioning

equipment, machines and facilities, nutritional and dietary programs, orientational or instructional sessions or lessons, aerobic

and anaerobic conditioning programs (collectively the “Activities”), the undersigned acknowledges and agrees to the following

terms outlined in this agreement:

## Disclaimer

Curling Canada, Northern Ontario Curling Association, Fort William Curling Club, and their respective Directors, Officers,

committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of

the facilities in which the Activities take place, and representatives (collectively the “Organization”) are not responsible for any

injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by a Participant during,

or as a result of, the Activities, caused in any manner whatsoever including, but not limited to, the negligence of the


## Description and Acknowledgement of Risks

1. I understand and acknowledge that:

* The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or

expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and

loss of life. The sport of curling is played on a sheet of ice, which is slippery, hard, and dangerous;

* A pertinent risk to participating in the sport of curling is the risk of suffering serious head injury should I fall, trip, or stumble

onto the ground or ice. It is highly recommended that I wear a helmet at all times when participating in the sport of curling;

* The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of my fitness

or abilities, may misjudge weather or environmental conditions, may give incomplete warnings or instructions, and the

equipment being used might malfunction; and COVID-19


* The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-

19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19;


however, the Organization cannot guarantee that I will not become infected with COVID-19. Further, participating in the

Activities could increase my risk of contracting COVID-19

2. I am participating voluntarily in the Activities. In consideration of my participation, I hereby acknowledge that I am aware of

the risks, dangers and hazards associated with or related to the Activities. The risks, dangers and hazards include, but are not

limited to

* Health: executing strenuous and demanding physical techniques, physical exertion, overexertion, stretching, dehydration,

fatigue, cardiovascular workouts, rapid movements and stops, lack of fitness or conditioning, traumatic injury, bacterial

infections, rashes, and the transmission of communicable diseases, including viruses of all kinds, COVID-19, bacteria, parasites

or other organisms or any mutation thereof.

* Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or

persons; dangerous, unsafe, or irregular conditions on floors, ice, or other surfaces, extreme weather conditions; travel to and

from premises.


* Use of Equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision

of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the

equipment; failure to use or operate the equipment within my own ability.

* Contact: contact with brooms, brushes or curling stones, other equipment, vehicles, or other persons, and may lead to

serious bodily injury, including but not limited to concussions and/or other brain injury, or serious spinal injury.

* Advice: negligent advice regarding the Activities.

* Ability: Failing to act safely or within my own ability or within designated areas.

* Sport: the game of curling and its inherent risks, including but not limited to, running, sliding or slipping on the ice surface,

delivering the curling stone, skipping or sweeping, stepping onto the ice surface from the walkway or onto the walkway from

the ice surface, or stepping over dividers that divide one sheet of ice from the next.

* Cyber: privacy breaches, hacking, technology malfunction or damage.

* Conduct: My conduct and conduct of other persons including any physical altercation between participants

* Travel: Travel to and from the Activities.

* Negligence: My negligence and negligence of other persons, including NEGLIGENCE ON the PART OF THE ORGANIZATION,

may increase the risk of damage, loss, personal injury or death. I understand that the Organization may fail to safeguard or

protect me from the risks, dangers and hazards of curling programs, some of which are referred to above

## Terms

In consideration of the Organization allowing me to participate in the Activities, I agree:

1. That when I practice or train in my own space, I am responsible for my surroundings and the location and equipment that I


2. That my mental and physical condition is appropriate to participate in the Activities and I assume all risks related to my

mental and physical condition;

3. To comply with the rules and regulations for participation in the Activities;

4. To comply with the rules of the facility or equipment;

5. That if I observe an unusual significant hazard or risk, I will remove myself from participation and bring my observations to a

representative of the Organization immediately;

6. The risks associated with the Activities are increased when I am impaired and I will not participate if impaired in any way;

7. That it is my sole responsibility to assess whether any Activities are too difficult for me. By commencing an Activity, I

acknowledge and accept the suitability and conditions of the Activity;

8. That I am responsible for my choice of safety or protective equipment and the secure fitting of that equipment;

9. Covid-19: that COVID-19 is contagious in nature and I may be exposed to, or infected by, COVID-19 and such exposure may

result in personal injury, illness, permanent disability, or death.

## Release of Liability and Disclaimer

In consideration of the Organization allowing me to participate, I agree:

1. That the sole responsibility for my safety remains with me;

2. To ASSUME all risks arising out of, associated with or related to my participation;

3. That I am not relying on any oral or written statements made by the Organization or its agents, whether in a brochure or

advertisement or in individual conversations, to agree to participate in the Activities;


4. To WAIVE any and all claims that I may have now or in the future against the Organization;

5. To freely ACCEPT AND FULLY ASSUME all such risks and possibility of personal injury, death, property damage, expense and

related loss, including loss of income, resulting from my participation in the Activities;

6. To FOREVER RELEASE and INDEMNIFY the Organization from any and all liability for any and all claims, demands, actions,

damages (including direct, indirect, special and/or consequential), losses, actions, judgments, and costs (including legal fees)

(collectively, the “Claims”) which I have or may have in the future, that might arise out of, result from, or relate to my

participation in the Activities, even though such Claims may have been caused by any manner whatsoever, including but not

limited to, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any

statutory duty of care of the Organization;

7. To FOREVER RELEASE AND INDEMNIFY the Organization from any action related to my becoming exposed to or infected by

COVID-19 as a result of, or from, any action, omission or negligence of myself or others, including but not limited to the


8. That the Organization is not responsible or liable for any damage to my vehicle, property, or equipment that may occur as a

result of the Activities;

9. That negligence includes failure on the part of the Organization to take reasonable steps to safeguard or protect me from the

risks, dangers and hazards associated with the Activities; and

10. This release, waiver and indemnity is intended to be as broad and inclusive as is permitted by law of the Province of ON and

if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.

## Jurisdiction

I agree that in the event that I file a lawsuit against the Organization, I will do so solely in the Province of ON and further agree

that the substantive

law of the Province of Ontario will apply without regard to conflict of law rules

## Acknowledgement

I acknowledge that I have read and understand this agreement, that I have executed this agreement voluntarily, and that this

agreement is to be binding upon myself, my heirs, spouse, children, parents, guardians, next of kin, executors, administrators

and legal or personal representatives. I further acknowledge by showing acknowledgement above, I have waived my right to maintain a

lawsuit against the Organization on the basis of any claims from which I have released herein.

11.    When the Participant is younger than 18 years old, the undersigned acknowledges and agrees that they are a parent/guardian of the Participant and have full legal responsibility for the decisions of the Participant.