Pickleball Canada Organization

First Name *

Last Name *

Club *

Club Website url

Primary Club Email * Opt in to emails

City/Town name or Physical Address *

Director 1 Name *

Director 1 Member # *

Director 1 Email * Opt in to emails

Director 1 Phone # * - International Number

Director 2 Name *

Director 2 Member # *

Director 2 Email * Opt in to emails

Director 2 Phone # * - International Number

Director 3 Name *

Director 3 Member # *

Director 3 Email * Opt in to emails

Director 3 Phone # * - International Number

Voting Delegate Name *

Delegate Member # *

Voting Delegate Email * Opt in to emails

Voting Delegate Phone # - International Number

Admin for PCNS Name *

Admin Member # *

Admin for PCNS Email * Opt in to emails

Admin for PCNS Phone # - International Number

Affiliate Club Information form