Registration and Liability Waiver Form

Registration and Liability Waiver Form
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Take Photo
Donation (optional)

Pickle Connection (d/b/a Pickleball Connection) is a 501(c)(3) Non-Profit and is supported completely by the community through donations. If you would like to make a donation, please fill out the information below:

USD

Liability Waiver (required)

It is your responsability to scroll through and read the entire liability waiver before selecting the checkbox below.
Signature
Signature of Guardian (required if under 18)
Should be Empty: