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Pickleball
Pickleball Summer Camp
Summer Pickleball Registration
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Juniors
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May 26th to May 29th
June 2nd to June 5th
June 9th to June 12th
June 16th to June 19th
June 23rd to June 26th
July 7th to July 10th
July 21st to July 24th
July 28th to July 31st
Choose Week
(Required)
May 26th to May 29th
June 9th to June 12th
June 16th to June 19th
July 21st to July 24th
July 28th to July 31st
Age
(Required)
9
10
11
12
13
14
15
16
17
Parent/Guardian or Adult Player Information
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Street Address
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Thailand
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Uganda
Ukraine
United Arab Emirates
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United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Realizing the nature of this program, its physical demands and how important it is to follow rules, regulations, and instructions outlined by the staff of Between the Lines Tennis, I am, to the best of my knowledge, in good health and able to participate in this program.
-I authorize the staff of Between the Lines Tennis to organize any requited medical or first aid procedure, or to take the undersigned to a hospital emergency room for treatment. If any major treatment is required, I understand that every effort will be made to notify the individual indicated as emergency contact beforehand by telephone.
- The undersigned hereby forever releases, discharges, and covenants to hold harmless Between the Lines Tennis and any other person, firm, corporation charged or chargeable with responsibility or liability, their heirs, administrators, executors, successors and assignees from any and all claims, demands, damages, costs, expenses, loss of services, actions and causes of action belonging to the undersigned or arising out of any act or occurrence in connection with and particularly on account of all personal injury disability, property damage, loss or damages of any kind sustained or that may hereafter be sustained arising out of the matters described herein or in consequence of the participation in the recreation program sponsored by Between the Lines Tennis
- The undersigned hereby bind their heirs, administrators, executors and successors. Further, this agreement shall apply to all unknown and unanticipated injuries and damages directly or indirectly resulting here-from. This Release and Hold Harmless Agreement shall constitute a full and complete release of any and all claims.
Consent of Parent/Guardian
(Required)
I agree to the Release and Hold Harmless Agreement and Permission to Provide Emergency Medical Treatment.
Consent of Participant*
I agree to the Release and Hold Harmless Agreement and Permission to Provide Emergency Medical Treatment.
*NOTE: Consent of participant and parent/guardian are both required if participant is under age 19, or is registered for a program for the mentally or physically challenged, or other special population member.
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