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REGISTRATION FORM FOR THE 2025-2026 SEASON


Enter registration details

Note that all required fields are marked with **

Contact Details
First Name: **
 Middle Name:
Last Name: **
 Gender: **
Address: **

 City: **
Province/State: **
 Postal/Zip Code: **
Country: **
Home Phone: **
 Mobile Phone:
Work Phone:
 Ext.:
Member Since: **
 Years Curling Experience: **
Email:

Please enter your email address here. Email is the primary method used to communicate with our members and is only used for that purpose. If you do not have an email address please leave this field blank.

Re-enter Email:
Emergency Contact (If youth, enter parent): **
 Emergency Contact Phone Number: **
Date of Birth: **
Youth members are required to enter their full date of birth including the year. If you want to take advantage of any available age discounts you must enter your full date of birth including the year.

Consent to Release Information, Privacy Policy and Anti-Spam Policy

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



Injury Waiver

    Check this box to indicate you have read and agree to the release form below

    Adult Release Form    Minor Release Form


    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) the Waupaca Curling Club a Wisconsin 501(c)3 non-stock 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 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, or 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 4 sheets of ice in which the sport of curling is played in the building located at 216 South Franklin Street, Waupaca, WI owned and operated by Club. The Expiration Date shall mean the date which is one (1) calendar year after the date this Release is executed below.

    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.

    BEFORE CHECKING ABOVE, I WAS GIVEN THE OPPORTUNITY TO READ THIS PARTICIPANT RELEASE AND TO CONSULT WITH AN ATTORNEY AS TO ITS SIGNIFICANCE. BY SIGNING BELOW, 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.



Membership Selection Instructions

Registration Instructions

  1. Select the membership type first by clicking on the approproiate round checkbox. 

  2. If an Adult Full Member or Casual Curler, select any league(s) that you wish to curl in.  If you know who you'd like to curl with, enter their names.  If not, enter NEED in the other positions.  YOU MUST FILL IN ALL 4 POSTIONS FOR EVERY LEAGUE IN WHICH YOU REGISTER, or the registration will not process.  Remember, you may put in "need" if you have no name.

  3.  Select any other extras or discounts, such as locker rental.  Please read the description on each discount before taking it, because some only apply to certain memberships.

   4.  All members are expected to volunteer to help with a bonspiel or other club activity.  Volunteer options are listed below.

 

Membership Selections (with leagues)

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 


Membership Selections (no leagues)



Additional Options


Discount Options



Registration Accuracy Confirmation

    I hereby confirm that the information I have entered on this form is correct and true. Once the season begins, there will be no refunds.

    Please mail payment to: Waupaca Curling Club, PO Box 22, Waupaca, WI 54981.  Payments can also be dropped off inside the club - place the payment inside the Black Metal Box by the phone in the kitchen.  If including cash, please make sure your name is attached to the money.  If paying by check, make the check payable to Waupaca Curling Club.