Play for a Purpose – Pickleball Registration & Waiver

Play for a Purpose – Pickleball Registration & Waiver

Join us for Pickleball with Purpose on October 11, 2025 at The Pickle Bar.This free community event raises awareness for youth prevention, mental health, and bullying.Families are encouraged to participate! Please complete one form per participant.
Guardian's Name

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Phone Number
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Email
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Child's Name #1

First NameLast Name
Child's Name #2

First NameLast Name
Child's Name #3

First NameLast Name
Child's Name #4

First NameLast Name
Child's Name #5

First NameLast Name
Participation Waiver and Release of Liability

In consideration of participating in the Play for a Purpose – Pickleball Event, which I and/or my children intend to join, I hereby declare that I have read and accept the following terms and conditions:

I understand that participation in Play for a Purpose – Pickleball Event (“the Event”) involves inherent risks, including but not limited to the risk of personal injury, property damage, or death.

I acknowledge and agree that neither Dominion Youth Inc., Tri-County Exchange Club, The Pickle Bar, nor any of their respective officers, directors, employees, agents, sponsors, volunteers, and the venue of the event (collectively, “the Organizers”) shall be liable for any personal injury, property damage, or other loss suffered as a result of my or my child’s participation in the Event.

I understand that the Event involves physical activity and affirm that I and my child(ren) are in good health and proper physical condition to participate.

I hereby release, waive, and discharge the Organizers from any and all claims, demands, actions, or causes of action for personal injury, property damage, or other loss that I, my child(ren), or any other family member may suffer as a result of our participation in the Event.

I understand and agree that this waiver of liability is intended to be as broad and inclusive as permitted by the laws of the State of South Carolina, and that if any portion is held invalid, the remainder shall continue in full legal force and effect.

I understand that photographs and/or video may be taken during the Event, and I hereby grant the Organizers the right to use, reproduce, and/or publish photographs and/or video that may include my or my child’s image for purposes of promoting future events or for any other legitimate purpose.

In the event that my child(ren) or I are injured or become ill during the Event and are unable to obtain medical care, I authorize the Organizers to obtain medical treatment on our behalf. I understand that the Organizers will not be responsible for any costs associated with such medical treatment.

I understand that I must be present to supervise my child(ren) at all times. I understand that all persons in my party MUST wear gym shoes.

By signing below, I acknowledge that I have read, understood, and voluntarily agree to this Participation Waiver.
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