Course Registration Form

Private Lessons

Pickleball
Student Name

First NameLast Name
Parent/Guardian name *if applicable

First NameLast Name
Phone Number
Emergency Phone Number
Email
example@example.com
Additional Comments (allergies, health issues, physical limitations, etc)
Do we have permission to take photos/videos of you or your child and use for advertisement purposes, i.e. social media, flyers, poster, brochures?**

Yes
Tennis Waiver and Release of liablity

https://docs.google.com/document/d/1vDbNyfhx051ExM6pWOV-_hAulPnZxdUpCn7blw9jgKU/edit_

(You do not have to print and sign. When you click submit you are agreeing to this form.)
By registering you are confirming that you have read and are agreeing to our Policies and Tennis waiver**

Yes
Payments are excepted by cash, check, or venmo.

Address: 1431 Old hwy 52 Moncks Corner SC 29461

Contact: Coach Josh 843-964-1328

Joshuapbswc@gmail.com
Should be Empty:

Private Lessons