The undersigned hereby makes the following representations: (i) that the undersigned understands that
the sport of curling is played on ice and requires physical fitness; (ii) that the undersigned possesses such
physical fitness; and (iii) that the undersigned understands 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, the undersigned, for myself and my estate, successors, heirs, beneficiaries,
administrators, trustees, representatives, and attorneys do hereby remise, release, acquit, and forever discharge
(i) Appleton Curling Club, a Wisconsin Corporation (the “Club”); (ii) the United States Curling Association,
Inc. (“USCA”); (iii) the Wisconsin State Curling Association (“WSCA”); (iv) the respective successors and assigns
or each of the Club, USCA, and WSCA and (v) the respective employees, officers, and directors, but only while
acting in their capacity as such, of each of the Club, USCA, and WSCA (collectively, the “Releasees”) 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 respect of physical, mental, and bodily injury
occurring to me while I am at the Ice House or in any adjacent area within the building in which the Ice House is
located (the “Building”) in connection with any activity in the Ice House; 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, or attorneys might have or
seek against (a) any other participant participating in any activity in the Ice House or (b) against any other person
or entity other than a Releasee.
The Ice House shall mean, with respect to any Building, any single room containing sheets of ice in which
the sport of curling is played in such Building, which Ice House is owned and /or operated by the Club.
I addition to this document, I agree to abide by all Club policies. These may include temporary health and
safety protocols. I have been given the opportunity to review these and understand their significance. Willful
negligence regarding these polices may result in being asked to leave the Building.
I certify that I am at least eighteen (18) years of age and have the legal capacity to execute this Participant
Release on my own behalf. I hereby revoke any and all releases of liability, waivers, and indemnifications
previously executed by me in favor of any of the Releasees.
The invalidity or unenforceability of any provision of this Release shall not affect the validity or
enforceability of any other provision of this Release, which shall remain in full force and effect. If any provision
contained in this Release is found to be unenforceable by reason of the extent, duration or scope thereof, or
otherwise, then the court making such determination shall have the right to reduce such extent, duration, scope
or other provision so that in its reduced form any such restriction shall thereafter be enforceable to the maximum
extent permitted by law.
BEFORE CHECKING THIS BOX, I WAS GIVEN THE OPPORTUNITY TO READ THIS PARTICIPANT
RELEASE AND TO CONSULT WITH AN ATTORNEY AS TO ITS SIGNIFICANCE. BY CHECKING THIS BOX, I
UNDERSTAND THAT I AM WAIVING SIGNIFICANT RIGHTS. I UNDERSTAND THE MEANING OF THIS
PARTICIPANT RELEASE AND THE RIGHTS I AM WAIVING. NOTWITHSTANDING THE FOREGOING, I
HAVE CHOSEN, OF MY OWN FREE WILL, TO EXECUTE THIS PARTICIPANT RELEASE.