17 September 2011 - 9:00 am to 3:00 pm
$30.00 - per person includes instruction and refreshments
Payment is by Cash or Cheque (payable to Port Moody Curling Club) at the Clinic
Please bring clean shoes and dress warmly
Consent
I authorise the Port Moody Curling Club to collect, use and disclose my personal information in order to manage or terminate my relationship with PMCC and CURL BC, and to administer benefits that may results from such relationship. I understand that PMCC and CURL BC endeavour to only collect use and disclose personal information as is reasonably necessary to manage or terminate a relationship and administer related benefits.
I understand that CURL BC’s collection, use and disclosure of personal information will be governed by the terms of the CURL BC Internal Privacy Policy and applicable provincial privacy legislation.
For the purposes of this consent, personal information may include some or all of the following, but is not necessarily limited to: Name, Address, Phone number, Email address, Age (by category) & Gender.
I understand that I am free to withhold or withdraw my consent to the collection, use and disclosure of my personal information, but that CURL BC may be unable to manage our relationship or administer any related benefits as a result of any such withholding or withdrawal.
Further details on the policy and complaint procedures are available through the executive director at the CURL BC: 3820 Cessna Drive, Suite 293 Richmond BC V7B 0A2
As a participant in the programs, activities and events of the Port Moody Curling Club, (the “Curling Club”), the undersigned acknowledges and agrees to the following terms:
Disclaimer
The Port Moody Curling Club, its directors, officers, members, employees, coaches, volunteers, officials, participants, clubs, agents, facility operators, and representatives (collectively the “Organisation”) are not responsible for any injury, damage or loss of any kind suffered by a participant during, or as a result of, any program, activity or event organised by the Curling Club, caused in any manner whatsoever including, but not limited to, the negligence of the Organisation.
Description of Risks
In consideration of my participation in such programs, activities and events of the Curling Club, I hereby acknowledge that I am aware of the risks and hazards associated with or related to curling. The risks and hazards of curling include, but are not limited to:
I state that I am in proper physical condition to participate in this event and I am aware that participation could result in injury.
In consideration of the Organisation allowing me to participate, I agree:
I acknowledge that I have read this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators and representatives.