Dixon Park SLSC Pickleball Social Day Registration
Please fill out the form below to register your team for the event and provide all necessary details.
Team Details
Team Name
*
Self-Rated Confidence (1 = just starting, 5 = very confident)
Just starting
1
2
3
4
Very confident
5
1 is Just starting, 5 is Very confident
Player 1 (Team Captain)
Player 1: Full name
*
Player 1: Email
*
example@example.com
Player 1: Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Player 1: Do you have any medical conditions or allergies?
Player 2
Player 2: Full name
*
Player 2: Email
*
example@example.com
Player 2: Do you have any medical conditions or allergies?
Waivers and Acknowledgements
Before you hit submit
A few quick things to agree to. Read them, tick them if you agree, and you're done.
I understand pickleball involves physical activity and I'm taking part at my own risk.
*
I agree
I confirm I'm medically fit to play. If that changes before the day, I'll let the club know.
*
I agree
I understand this registration doesn't make me a member of Dixon Park SLSC and doesn't cover me under the club's member insurance.
*
I agree
I'm okay with photos and video being taken on the day and used by Dixon Park SLSC on our socials, website and newsletter. (If you'd rather not be in shots, just let us know on the day.)
*
I agree
I've read and agree to follow the club's code of conduct.
*
I agree
I'm happy for Dixon Park SLSC to hold onto my contact details to get in touch about this event and future ones. We won't share them with anyone else.
*
I agree
Signature
*
Date
*
-
Month
-
Day
Year
Date
Payment
Team entry is $40, payable on the day. We accept card and cash.
Submit registration
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