Paddle for a Purpose Pickleball Fundraiser Registration
Please complete this form to register for the StirrUp Purpose benefit event March 14, 2026
Registration fee: $55
Includes Irish-themed refreshments
Payment due by March 2, 2026
Participant's Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Skill Level
*
Advanced
Intermediate/Beginner
Do you need a doubles teammate?
*
Yes
No
If no, Please tell us your teammate's name:
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Paddle for a Purpose Registration
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Paddle for a Purpose Registration
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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