Pickleball Tournament

Participant Information
Participant Name*

First NameLast Name
Participant E-mail*
example@example.com
Participant Phone Number*

Area CodePhone Number
Participant Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Date of Birth*

MonthDayYear
Date
Participant Gender*

MaleFemale
Participant is*

Under 18Over 18
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.
Any Participant Allergies
Please list all that apply
- Liability Waiver
  
  In consideration of QURE SPORTS and all participating organizations furnishing services and/or equipment to enable me to participate in the event, I agree as follows:
  
  I fully understand and acknowledge that: (a) risks and dangers exist in my use of sports equipment and in my participation in sports activities; (b) my participation in such activities and/or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the members or volunteers of QURE SPORTS and all participating organizations, the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes, and these risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or of equipment, I hereby assume all risks and dangers and all responsibility for any loses and/or damages whether caused in whole or in part by the negligence or other conduct of the members or volunteers of QURE SPORTS and all participating organizations or any other person.
  
  I, on behalf of myself, my personal representatives, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify QURE SPORTS and all participating organizations and their members, volunteers, and participants from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of sports equipment or my participation in sports activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for negligent acts or other conduct by the members, volunteers, or participants of QURE SPORTS and all participating organizations.
- By clicking "I agree" you acknowledge and accept the above statement.*
  
  I agree
- Media Release
  
  As Parent and/or Guardian of the named athlete, I hereby authorize QURE SPORTS to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.
- By clicking "I agree" you acknowledge and accept the above statement.*
  
  I agree
- Guardian Information
- Name*
  
  First NameLast Name
- E-mail*
  example@example.com
- Phone Number*
  
  Area CodePhone Number
- Address*
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Date of Birth*
  
  MonthDayYear
  Date
- Liability Waiver
  
  In consideration of QURE SPORTS and all participating organizations furnishing services and/or equipment to enable me to participate in the event, I agree as follows:
  
  I fully understand and acknowledge that: (a) risks and dangers exist in my use of sports equipment and in my childs' participation in event activities; (b) my child's participation in such activities and/or use of such equipment may result in my child's injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the members or volunteers of QURE SPORTS and all participating organizations, the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes, and these risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my child's participation in these activities and/or of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages whether caused in whole or in part by the negligence or other conduct of the members or volunteers of QURE SPORTS and all participating organizations or any other person.
  
  I, on behalf of myself, my personal representatives, and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify the QURE SPORTS and all participating organizations and their members, volunteers, and participants from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of sports equipment or my participation in sports activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for negligent acts or other conduct by the members, volunteers, or participants of QURE SPORTS and all participating organizations.
- By clicking "I agree" you acknowledge and accept the above statement.*
  
  I agree
- Media Release
  
  As Parent and/or Guardian of the named participant, I hereby authorize QURE SPORTS to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.
- By clicking "I agree" you acknowledge and accept the above statement.*
  
  I agree

Event Information
Ranking
Only enter if you are formally ranked.
Division to Compete In*
Please visit QureSports.com/Pickleball for division descriptions.
Shirt Size*
Team Name*
Please note that your participation isn't confirmed until your partner signs up too.
Partner's Name*

First NameLast Name
Partner's Phone Number*
Please enter a valid phone number.

Select Option*
prevnext( X )
RegistrationEnter description
$35.00

Total

$0.00

Payment Methods

Debit or Credit Card

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Participant Information

Guardian Information

Event Information