REGISTRATION DATES:
September 10th through October 2nd

EVENT DATE:
October 2nd 7-8:30pm

EVENT COST:
$25 per player

Register for
our Intro to
pickleball clinic!

First Name

Last Name

Address

Phone

Player's Gender

Male

Female

Other

Do you own a pickleball paddle?

yes

Player's Medical Insurance

Player's Physician

Medical conditions explained:

I agree to the Scott Township Ball Park Terms & Conditions.View Scott Township Ball Park Terms & Conditions

I agree to the Release of Liability.View Release of Liability

I give Scott Township permission to email, call, text, etc. me at the contact information provided above.

I understand I must present $25 payment at clinic to participate.

Your Signature - write below

Thank you for registering with us! We'll be in touch soon! Please follow the Scott Township Pickleball FB Page for updates.