New Membership Form



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Club Membership Application Form
www.chillpb.com

Name__________________________________________________(please print all information clearly)

Address___________________________________________________________________________

Phone__________________________________________

Email______________________________________________________________________________

Emergency Contact Name and Phone #________________________________________________

Membership will be renewed yearly

AGREEMENT, RELEASE AND WAIVER OF LIABILITY
As part of club membership you agree to be a member of Pickleball Canada and Pickleball
BC, both of which provide information and services promoting the growth of Pickleball locally
and nationally. You also agree to receive an email from Chilliwack Pickleball with current local
information.

I further agree to play under the guidelines and rules of the International Federation of
Pickleball and The Chilliwack Safety and Play Etiquette guideline sheet provided, for the
overall enjoyment, safety and sportsman like conduct on the courts. Any serious issue arising
should first be presented to the elected board in writing for resolution.

By signing the membership form I acknowledge that Chilliwack Pickleball Club may take
pictures at functions and events and I approve of my picture to be posted on their website
and/or Facebook page.

I recognize and understand that there are certain inherent risks to which I will be exposed
because of the nature and level of the sports activity in which I have agreed to participate. In
consideration of being allowed to participate in Chilliwack Pickleball Club related events and
activities, I the undersigned give permission for Chilliwack Pickleball Club to use or distribute,
without limitation or obligation, any record of the events which may include my voice or image
and authorization to contact me via email to keep in touch with Pickleball information, news,
tournaments, sales and so forth. As evidenced by my signature, I hereby, for my heirs,
administrators and assigns, release, waive and hold harmless Chilliwack Pickleball Club, their
directors, agents, coaches, instructors and other members of the association, sponsoring
agencies, sponsors, advertisers and if applicable, owners and lessors of premises used to
conduct the event, from any manner of claims or lawsuits that my result from my participation
in this sport.
Signature_____________________________________________Date________________________

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