Form Center

2. 1. Participant Information
4. First Name*
5. Last Name*
7. Age*
   -- Select One --101112131415161718+
9. City of Residence*
11. 2. Parent/Guardian Information

    Please provide the following information if the participant is under 18

13. Parent/Guardian Name

    Please provide first and last name of parent/guardian

15. Parent/Guardian Phone Number
17. Parent/Guardian Email
19. 3. Emergency Contact
21. Emergency Contact Name*
23. Emergency Contact Phone Number *
25. 4. Clinic Registration Details
27. Have you played pickleball before?
    -- Select One --Yes No
29. Skill Level
    -- Select One --BeginnerIntermediateAdvanced
31. 5. Equipment
33. Will you bring your own paddle?
    -- Select One --YesNo
35. Check-in Requirement & Final Waiver *

    1. I understand that completion of this registration form does not constitute a final waiver of liability. I acknowledge that I (or a parent/guardian if under 18) am required to check in upon arrival at the event and sign an official City of Calimesa waiver prior to participating in the pickleball clinic. I understand that failure to complete the required check-in and waiver may result in denial of participation.
37. Please arrive at least 10-15 minutes early to allow time for check-in
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field