Information and Registration for November 3rd and 4th Pickleball Tournament

EACH PLAYER IN THE TEAM MUST COMPLETE THE REGISTRATION FORM. THANK YOU.

BE SURE TO HIT SUBMIT AND THEN COMPLETE THE PAYMENT SECTION.

Registration Pickleball Tournament

Registration form and Liability Form

LAST NAME(Required)

FIRST NAME(Required)

Events you want to enter(Required)

Women's Doubles Friday Nov. 3

Men's Doubles Friday Nov. 3

Mixed Doubles Saturday Nov. 4

Each event is $20 per person.

Estimate your skill level please (3.5, 3.0, 2.5, 2.0)(Required)

PARTNER'S FULL NAME (If no partner, we can try to find one. Enter NO Partner)(Required)

Partners must submit a separate registration and payment.

YOUR EMAIL ADDRESS(Required)

CONFIRM EMAIL ADDRESS(Required)

YOUR HOME ADDRESS (street, city, state, zip)(Required)

Please provide in case we find lost items.

Phone Number (include area code)(Required)

Emergency Contact Name and phone number(Required)

RELEASE (Read and check the box to acknowledge you have understood)(Required)

My Initials acknowledge that I have read and accept this RELEASE.

Release. In consideration of being permitted to participate in any way in the _Assistance League of Visalia Pickleball tournament (“the Event”), I, for myself, my heirs or assigns, hereby release, waive, discharge and covenant not to sue Assistance League of Visalia as well as: The Pickleball Farm , their officers, employees and agents from liability from any and all claims resulting in personal injuries, death, accidents, illnesses (such as communicable diseases including COVID- 19), and property loss arising from, but not limited to, participation in the Event.

Participant Initials(Required)

Assumption of Risk(Read and check the box to acknowledge you have understood)(Required)

My Initials below acknowledge my acceptance of this risk.

Assumption of Risk. Participation in the Event carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary but include 1) minor injuries such as bruises, sprains and dehydration, 2) major injuries such as eye injuries, joint or back injuries, heat stroke, heart attacks, and concussions, and 3) catastrophic injuries such as paralysis and death. I know, understand and appreciate these and other risks that are inherent in playing pickleball. I assert that my participation is voluntary and that I knowingly assume all such risks.

Participant Initials(Required)

Indemnification (Read and check the box to acknowledge you have understood)

My initials below acknowledge my acceptance.

Indemnification and Hold Harmless. I also agree to indemnify and hold all named above harmless from any and all claims, actions, suits, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Event.

Participant Initials(Required)

Signature of Parent/Guardian if a MINOR is participant Use format /Your Name/ (Slash mark on each side of the name indicates a signature) and DATE.

Signature here indicates the release, assumption of risk and Indemnification is accepted by the parent/guardian for the minor.

Minor's name and age

PHOTO PERMISSION Click the box to indicate your choice concerning photos and use.(Required)

I agree and give permission for photos, etc.

I DO NOT give my permission for photos, etc.

Use Permission. I also give Assistance League and The Pickleball Farm and its agents and designees permission to use or distribute, without limitation or obligation, my image,name, voice, or words for any purpose connected with the Event, including promotional, marketing, training, informational, and archival uses.

Signature: My signature below acknowledges that I have read and agree to all the above information. Type your name below .(Required)

Date: Enter the date below and click SUBMIT

Captcha

HIT THE SUBMIT BUTTON BEFORE MOVING TO PAYMENT PLEASE.

Please complete and SUBMIT the registration before payment. To Complete registration, submit payment by PayPal or credit card.. Select number of events and event name, then add to cart. Payment page will display for PayPal or credit card input. THANK YOU.

TO PAY BY CREDIT OR DEBIT: Add to the cart and then click the grey "CHECK OUT" button that appears under the Paypal window. When the next screen appears, scroll down a bit and click on the "PAY WITH CREDIT OR DEBIT CARD." This is easier to do on a computer and harder to do on a phone.