Pickleball Canada Organization

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Full Mailing Address - Street Address *

Address 2

City *

Province/Territory/State *

Country *

Postal Code *

Individual Email * Opt in to emails

What is your experience with Pickleball? *

Have you ever taken part in the Pickleball clinic/lessons? *

Do you need to borrow a paddle for this clinic? *

Do you play any other sports? If so, which ones? *

Do you have any health restrictions that we need to be aware of? *

Who is your Emergency contact? Name and Number please

I have read and agree *
Pickleball Ontario Waiver

Digital signature (type your name exactly as entered above "registrants name") *

Learn to Play Clinic - September 2nd (6:30 pm)