Organization: Markham Pickleball Club

​1. Participant Details

• ​Child’s Full Name & Date of Birth (Must be 10+ years old): ____________________________________________
• ​Parent/Guardian Name: _____________________________________________
• ​Phone Number: ___________________
• ​Medical Conditions or Allergies (if any): ______________________________________

​2. Terms of Participation

• ​Eligibility & Responsibility: I confirm my child meets the minimum age requirement of 10 years old to participate in Markham Pickleball Club (MPC) activities (applicable to both members and non-member guests). As parent or legal guardian, I assume full legal responsibility for my child’s participation in the registered program.
• ​Liability Release & Assumption of Risk: I confirm my child is physically fit to participate. I understand sports activities carry inherent risks, including falls, collisions, sprains, and physical injuries. I voluntarily assume all risks and release Markham Pickleball Club, its directors, officers, coaches, volunteers, agents, and facility partners (including host schools, facility owners, and school boards) from liability for any claims or damages arising from participation, except in cases of gross negligence or intentional misconduct.
• ​Emergency Care: If I cannot be reached in an emergency, I authorize program staff to secure necessary medical care for my child, including emergency transportation and treatment.
• ​Media Release: I grant permission to Markham Pickleball Club to photograph or film my child during sessions for club promotional and informational purposes (such as website, social media, and newsletters). My child's full name will not be published without separate written consent. There is no compensation, and consent may be revoked in writing at any time (non-retroactive). ☐ I DO NOT consent to photography or filming of my child. (check box if opting out)

​3. Confirmation & Signature

​By signing below, I grant permission for my child to participate in the registered MPC program, confirm that all details provided electronically are accurate, have read and understood this document, and voluntarily agree to all terms above.

​Parent/Guardian Signature: _______________________________

Date: ___________________