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REGISTRATION FORM FOR THE 2025/26 SEASON


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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.

Membership Selection Instructions

Please select Membership type from the dropdown menu of:

  • Adult Member Curling, Fitness and Squash
  • Adult Member Fitness and Squash 
  • Student Member
  • Youth Member

For Curling, please enter all team member names for each league you choose. Don't have a complete team? Write 'assign' for the other team member(s). Each team member must submit their own form. Not on a team? Write 'assign' for the other team members.

Do you want to spare for curling? If interested in sparing in some/any of the leagues, after registration, go to your Member Profile and complete "Spare/Substitute Details".  Please check off leagues where interested in sparing and provide preferred position(s) in the detail box.

Membership Selections (with leagues)

Player One: ** 
Player Two: ** 

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

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

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

Player One: ** 
Player Two: ** 

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

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




Additional Options



Consent to Release Information

    I hereby consent to the use of the personal information provided above for publication in the club membership directory and/or website. I wish to receive the monthly club newsletter and any emails pertaining to the club and membership. This information is intended for the sole use of club members.



Injury Waiver

    Acknowledgement of Risk and Release of Liability:  I am aware that participating in activities and sports offered by or associated with Campbellford & District Curling & Racquet Club/Meyers Sports Club, including indoor sports and activities such as Squash, Curling, Weight Lifting, Fitness Classes and Cardiovascular Training for length of my membership, exposes me to many inherent risks, dangers and hazards. By engaging in any activities offered by or associated with Campbellford & District Curling & Racquet Club/Meyers Sports Club, I freely accept and fully assume all inherent risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting therefrom. I am aware that there are inherent and significant dangers, hazards and risks associated with the participation in the above mentioned activities. I am aware that risks include, but are not limited to, injury from physical contact with other members, performing a skill incorrectly or, potentially, dangerous obstacles, conditions or equipment on the ice, vicinity or floor of the facility. I understand that the risks are relative to my state of fitness or health (physical, mental or emotional), and the awareness, care and skill with which I conduct myself while participating in the above mentioned activities.

    I acknowledge my obligation to inform the nearest employee of the Organization if I feel pain, discomfort, fatigue or any other symptoms I might suffer during or immediately after my participation in the above mentioned activities. I understand that I may stop participating at any time, and have the right to immediately withdraw from any activity in which the conduct of any participant seems beyond the scope of the activity, makes me uncomfortable or which I believe will be harmful to me.

    RELEASE OF LIABILITY WAIVER OF CLAIMS & INDEMNITY AGREEMENT:

    TO WAIVE ANY AND ALL CLAIMS that I have or may, in the future, have against Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, employees, agents and representatives, TO RELEASE Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, officers, employees, agents and representatives from any and all liability for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer, as a result of my participation in activities and sports offered by Campbellford & District Curling & Racquet Club/Meyers Sports Club, due to any cause whatsoever INCLUDING NEGLIGENCE, BREACH OF CONTRACT, BREACH OF STATUTORY DUTY OF CARE, AND/OR BREACH OF THE OCCUPIER’S LIABILITY ACT, R.S.O. 1990, c. O.2 ON THE PART OF CAMPBELLFORD & DISTRICT CURLING & RACQUET CLUB/MEYERS SPORTS CLUB and its directors, officers, employees, agents and representatives. 

    TO HOLD HARMLESS AND INDEMNIFY Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, officers, employees, agents and representatives from any and all liability for any property damage or personal injury to any third party, resulting from my activities and my participation in the activities offered by or associated with Campbellford & District Curling & Racquet Club/Meyers Sports Club. I further state that I am 18 years of age or older and in proper physical condition to participate in this event/activity and am aware that participation could, in some circumstances, result in physical injury; that this Agreement shall be effecting and binding upon any heirs, next of kin, executors, administrators and assigns in the event of my death.

    I have read and understood this Agreement prior to signing it and have agreed to the terms freely and voluntarily.  I am waiving certain legal rights which I or any heirs, next of kin, executors, administrators and assigns may have against Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, officers, employees, agents and representatives.  



Rowan's Law

    The Ministry of Heritage Sport Tourism and Culture Industries stipulates that, as of July, 2021, all curling clubs must post a link on their website about Rowan’s Law.  Rowan’s Law is aligned with the Ontario Curling Council concussion policy, which includes removal from sport and return to sport due to a head injury. The risk of head injury is always high on the curling ice due to a fall, especially since helmets are not yet mandatory. Many injuries can be prevented by using up to date equipment, changing grippers on a regular basis and, in many cases, wearing a gripper on both shoes when sweeping.

    What is Rowan’s Law?

    Rowan’s Law was named for Rowan Stringer, a high school rugby player from Ottawa, who died in the spring of 2013 from a condition known as second impact syndrome (swelling of the brain caused by a subsequent injury that occurred before a previous injury healed). Rowan is believed to have experienced three concussions over six days while playing rugby. She had a concussion but didn’t know her brain needed time to heal; neither did her parents, teachers or coaches. 

    Remember:

    1. Recognize signs and symptoms of a concussion and remove yourself or the member from the sport/physical activity, even if you feel okay or they insist they are okay. 
    2. Get yourself/the member checked out by a physician or nurse practitioner. 
    3. Support gradual return to school and sport.

    The Campbellford & District Curling & Racquet Club is committed to a safe and comfortable environment for everyone and is implementing the required safety awareness and protocols towards concussion awareness, reporting and follow-up, as stipulated below.

    • Ensure that all members, parents of members under 18, coaches, team trainers and officials confirm every year that they have reviewed Ontario's Concussion Awareness Resources.
    • Establish a Concussion Code of Conduct that sets out rules of behaviour to support concussion prevention.
    • Establish a Removal-from-Sport and Return-to-Sport protocol.

     

     For further information, go to: Rowan's Law (Concussion Safety - Provincial Info.)



Youth/Student Waiver (where under Age of Majority)

    TO HOLD HARMLESS AND INDEMNIFY Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, officers, employees, agents and representatives from any and all liability for any property damage or personal injury to any third party resulting from my activities and my participation in the activities offered by or associated with Campbellford & District Curling & Racquet Club/Meyers Sports Club. I further state that I am 17 years of age or younger and in proper physical condition to participate in this event/activity and am aware that participation could, in some circumstances, result in physical injury; that this Agreement shall be effecting and binding upon any heirs, next of kin, executors, administrators and assigns in the event of my death. 

    I acknowledge and accept that helmets are strongly recommended while on-ice.

    I have read and understood this Agreement prior to signing it ("accepting below") and have agreed to the terms freely and voluntarily. I am waiving certain legal rights which I or any heirs, next of kin, executors, administrators and assigns may have against Campbellford & District Curling & Racquet Club/Meyers Sports Club and its directors, officers, employees, agents and representatives.   

    I also acknowledge that since I am under the Age of Majority, my Parent/Guardian has also read and accepted these details by accepting below. 



Payment

    Payment may be made by cheque, etransfer or monthly for qualifying (Squash and Fitness only).

    • Cheques should be made payable to Meyers Sports Club
    • eTransfers sent to be made to Meyerssports@persona.ca
    • Monthly – Compete the Club PAD and submit to Meyerssports@persona.ca (one year commitment).

    Please contact the club (705-653-4433 or email meyerssports@persona.ca) to arrange a convenient time to drop off your registration form, cheque and/or PAD form and pick up your access card where applicable. * If receipt is required, go to your Member Profile (under Members+), to the Membership Info tab and print the page. Key card will not be activated until registration form, waivers and payment are complete.

    You must check the box below in order to validate your registration and calculate complete fee for your registration.




Contact Us

381 Front St. North
Campbellford, ON K0L 1L0
☎ (705) 653-4433
✉ meyerssports@persona.ca

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About Us

Campbellford and District Curling and Racquet Club provides facilities for curling, squash, social cornhole and fitness workouts. Fitness classes are offered. Rentals are available for meetings, weddings, bonspiels. ✉ cdcrccurlingfitness@gmail.com