Pickleball Palooza Registration Form

Pickleball Palooza Registration

April 25-27, 2025 Manzano Mesa Pickleball Courts, 501 Elizabeth ST SE, Albuquerque, NM 87123 18 and Over Event All Skill Levels Welcomed All Players Will Receive an Official CTHF Pickleball Palooza Medal Food Trucks, Beer Garden, Children's Play Area, and MUCH MORE!
Athlete Information
Athlete's Name

First NameLast Name
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
If playing mixed doubles what is your partners name?
Do you need a mixed doubles partner?

YesNo
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.

My Products

Men's Singles

$75.00

Women's Singles

$75.00

Mixed Doubles

$75.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Informed Consent and Acknowledgement

I hereby give my approval for my participation in any and all activities prepared by Carrie Tingley Hospital Foundation and/or Carrie Tingley Hospital Foundation Pickleball Palooza during the selected tournament. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Carrie Tingley Hospital Foundation and/or Carrie Tingley Hospital Foundation Pickleball Palooza, and all its respective officers, agents, and representatives from any and all liability for injuries arising out of traveling to, participating in, or returning from Carrie Tingley Hospital Foundation Pickleball Palooza.

In case of injury, I hereby waive all claims against Carrie Tingley Hospital Foundation and/or Carrie Tingley Hospital Foundation Pickleball Palooza, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

Powered by Jotform SignClear
Should be Empty:

Pickleball Palooza Registration

Athlete Information

Payment Methods