Kingman Pickleball Club (KPC) Membership Application, 2025-2026
July 1, 2025 to June 30, 2026. Annual dues are $15.00. Once you submit your application, you will be redirected to our website so you can remit payment.
Enrollment Date
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Month
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Day
Year
Date
Are you a NEW member?
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No, but I'm excited to renew my membership.
Yes! And I can't wait to play!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Address
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Street Address
Street Address Line 2
City
Please Select
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Birthday (MMDD) - Not Year!
Optional
Emergency Contact's Name
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First Name
Last Name
Emergency Contact's Phone Number
*
Please enter a valid phone number.
Emergency Contact's Relationship To Applicant
*
Such as Spouse, Father, Mother, etc.
KPC CODE OF CONDUCT
Kingman Pickleball Club (KPC) strives to maintain an atmosphere of good sportsmanship, collegiality, and respect for Club rules and procedures. Such an atmosphere is necessary for the smooth functioning of a busy pickleball club that attracts members and guests of varying ages, genders and skill levels. Conduct by individual members that does not meet appropriate standards detracts from the playing or observing experience of others and may harm the reputation of the Club. As a result, there is an expectation that all KPC members embrace the values of good sportsmanship. It is essential that members model good behavior, lead by example, display respect, and show self-control.
MY COMMITMENT TO KPC
As a member of KPC, I understand I am representing the Club. As such, I acknowledge and agree to abide by the following: 1) I will not engage in unsportsmanlike conduct and will not encourage others to do so. 2) I will not engage in any behavior that would endanger the health, safety, or wellbeing of others. 3) I will not engage in the use of obscene gestures. 4) I will not flaunt my level or position in the Pickleball community. 5) I will not taunt or degrade others. 6) I will treat others with respect and kindness. 7) I will exhibit fairness and honesty in my dealings with others. 8) I will accept responsibility for my actions. 9) I will exemplify the highest standard in ethical behavior and fair play. 10) I will engage in conduct that is free from fear, discrimination, abuse, and harassment. 11) I will accept responsibility for guests and family members in attendance at events and/or open play opportunities. 12) I will observe the Golden Rule of doing unto others as I would have them do unto me. I understand violation of the Code of Conduct could result in a warning. However, more severe, repetitive cases may result in a revocation of my membership. I have read, understand, and agree to abide by Kingman Pickleball Club’s Code of Conduct.
KPC Code of Conduct Agreement
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Yes, I have read, understand, and agree to abide by Kingman Pickleball Club’s Code of Conduct. I further understand that violation may result in a warning or revocation of my membership.
KPC Complaint Policy
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Yes, I further understand that in the event there is a problem, I can follow the Complaint Policy guidelines on the Kingman Pickleball club website.
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KPC RELEASE, PERMISSION & INDEMNITY AGREEMENT
RELEASE In consideration of being permitted to participate in any way in the Kingman Pickleball Club, (Club, the Club or KPC), I, for myself, my heirs or assigns, hereby release, waive, discharge and covenant not to sue the KIngman Pickleball Club as well as: _____ Others: _____ KPC Board Members, their officers, volunteers, 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 Club activities. ASSUMPTION OF RISK Participation in the Club carries with it certain inherent risks that cannot be eliminated regardless of the care 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 have read the previous paragraphs and 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 such risks. INDEMNIFICATION AND HOLD HARMLESS I also agree to indemnify and hold the Kingman Pickleball Club and 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 Club. USE PERMISSION I also give the Kingman Pickleball Club and its agents and designees permission to use or distribute, without limitation or obligation, my image, name, voice, and words for any purpose connected with the Club, including promotional, marketing, training, informational, and archival uses.
Minor's Name
First Name
Last Name
Minor's Age
Parent and/or Guardian's Name
First Name
Last Name
Parent/Guardian's Relationship To Minor
Such as mother, father, etc.
KPC RELEASE, PERMISSION & INDEMNITY AGREEMENT
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Yes, I have read the above and 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 such risks.
Signature of Applicant or Parent/Guardian If Applicant is a Minor. Note: Once you click on the SUBMIT BUTTON, you will be redirected to the KPC website so you may remit payment online. Thank you.
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For KPC Use Only
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