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Pickleball Tournament Sign-up
10
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1
Name
First Name
Last Name
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2
Participation Donation - Will support free bus service for local campers this summer
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Suggested donation $50 per player
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Payment Methods
Credit Card
First Name
Last Name
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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3
If sufficient players register, we will add an afternoon session. Do you have a preference for the morning or afternoon session if the option occurs?
Morning 9-12
Afternoon 1-4pm
No preference
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4
Mailing Address
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Street Address / PO Box
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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United States
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Austria
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The Bahamas
Bahrain
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Belize
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Tonga
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Turks and Caicos Islands
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Uganda
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United Kingdom
Uruguay
Uzbekistan
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Venezuela
Vietnam
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
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Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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Email for receipt
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example@example.com
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Emergency Contact Information
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This field is required.
Please enter the name of an individual we should contact on your behalf in case of an emergency
Name of emergency contact
Phone number for emergency contact
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7
Are there any medical or personal conditions that might affect the participant’s safe participation in this program?
*
This field is required.
If yes, you will be prompted to provide details next.
YES
NO
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8
Please provide details of any medical or personal conditions that might affect the participant’s safe participation in this program?
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9
Informed Consent & Acknowledgement of Risk
*
This field is required.
Adventure Programs often involve physically and emotionally demanding activities in an outdoor and sometimes indoor setting. It is required that you read the following very carefully, make sure you understand it, and sign it before you begin participating in the program. Please contact us if you have any questions. Thank You.I am fully aware that the programs that I am choosing to participate in may include rigorous physical activities. I am also aware that there are risks of serious physical injury or harm from participating in these programs. I voluntarily elect to participate in the program and to assume all risks of injury or harm that could result from participation. I understand that the level of participation in the programs is at all times completely voluntary and up to the individual’s choice. I agree that I will not make a claim or bring suit against Camp Beech Cliff, or Camp Beech Cliff MDI, LLC, it’s employees, agents, officers, directors or consultants, regarding any personal injury or property damage I or my child may incur while participating in the program or using the facilities, and hereby release the aforementioned from any responsibility or liability for any injury or harm. I further agree to defend, hold harmless and indemnify the aforementioned from any and all such claims. I have read and understand this release of liability. I voluntarily sign it. I agree that the substantive laws of Maine govern this document and other aspects of my relationship with Camp Beech Cliff and Camp Beech Cliff MDI, and that any mediation, suit, or other proceeding must be filed or entered into only in Maine.I hereby give permission for the leaders of the stated program and organization to administer medical assistance equivalent with their standard of care and/or to seek appropriate medical assistance for the participant listed. I affirm that my health is good, and that I am not under a physician’s care for any undisclosed condition that bears upon my fitness to participate in adventure programs or outdoor education programs here at the outdoor center at Camp Beech Cliff. IF UNDER 18, MUST BE SIGNED BY PARENT/GUARDIAN.
Type your name here to sign confirm consent
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10
Photo Release
*
This field is required.
At Camp Beech Cliff, we frequently take photographs of participants in our programs. These photographs help us design and produce brochures, posters, web updates and other marketing pieces that help us communicate what we do at CBC. Would you be willing to let Camp Beech Cliff use a photograph of your child for marketing purposes? Please sign below if it is OK with you.We respectfully understand if you choose not to sign. For good and valuable consideration, I hereby consent to and authorize the reproduction, publication, and use by Camp Beech Cliff and their successors and assigns, for advertising, commercial, and promotional use and any other purpose the photo, picture, or likeness of my child.
Type your name here to provide consent for use of photos OR Enter "No Photos" if preferred.
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