Pickleball Regina Minor Pickleball League S01 (re-created)

REGINA, Saskatchewan

# of individuals you want to register

* Required fields

First Name *

Last Name *

Gender *

Male Female

Date of Birth * (YYYY-MM-DD)

/ /

Full Name of Parent/Guardian *

Email address * Opt in to emails

Contact phone number * - International Number

Alternate contact phone number - International Number

Learning Options *

Youth T shirt

$20.00

Unisex t - shirt with short sleeves; includes Regina Minor Pickleball League and Pickleball Regina logos

QTY

I have read and agree *
Waiver

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