Child's Last Name

Gender

Date of Birth

Street Address

Address 2

City

Province/Territory/State

Country

Postal Code

Emergency Contact Person's Name (First and Last Name)

Emergency Contact Person's Phone Number

Mobile or Landline

Emergency Contact Person's Email Address

Home Club (if you child does not belong to a Pickleball Club, leave blank)

How did you hear about us? (If you select OTHER, please describe.)

Do you have any concerns about your child's mental health or emotional readiness in relation to this clinic?

If “yes”, please describe:

Are there any recent injuries to be concerned about?

If “yes”, please describe:

Calgary Pickleball Club Waiver and Release Form

Calgary Pickleball Center (Facility) Waiver