Dieterich Park District

Summer Pickleball

This season you will be signing up as 1 person!

Games will be played on Wednesday nights!

Age requirement is 16 years old.

PLAYER 1 INFORMATION

* First Name:

* Last Name:

* Address:

* City:

* Phone:

* Email:

* T-Shirt size:

* Level of Play:

1 - First time playing

5- Upper level play

WAIVER INFORMATION

As a participant in this program I recognize and acknowledge that there are certain risks of physical injury and illness, I agree to assume the full risk of injury and illness, including loss of life, damage or loss which I, my partner, or my child may sustain as a result of participating in this activity. I and my partner further agree to waive and relinquish all claims, fully release and discharge and agree to indemnify and hold harmless and defend the park district and their officers, agent’s servants, and employees from any and all claims resulting from illness and injuries, including loss of life, damages and losses sustained by myself, my partner or my child. I also agree to a photo release.

I/we agree with the above *

* indicates required fields

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Summer Pickleball