Bath Pickleball Club
Registration and Waiver Form

Player Information

Name
Email
Phone
Municipality
Name Tag Needed? (Y/N)

​Emergency Contact

Emergency Contact Name
Emergency Contact Phone

Costs

Membership Cost: $25.00

Name Tag Cost: $7.00

​Payment Methods

Send E-transfer to bpctreasurer2014@gmail.com and email this form filled out and signed or bring to courts, OR Print and fill in form and bring to courts with exact cash payment or cheque made out to Bath Pickleball Club

Waiver (Must be Signed)

BPC (Bath Pickleball Club) in conjunction with Loyalist Township promotes the game of pickleball through play, tournaments, and social events. By participating in any BPC event the undersigned acknowledges that they are participating voluntarily and do so at their own risk. The undersigned agrees to fully release BPC, Loyalist Township, and all staff and volunteers from all claims or lawsuits for any injuries, property damage, infectious disease, losses, or any kind of liability. This release includes any claims for damages resulting from the negligence of any members of BPC or staff of Loyalist Township that may arise directly or indirectly from participation in BPC events or the use of Loyalist Township facilities. This liability waiver is in effect as long as I am a member in good standing of the Bath Pickleball Club. I acknowledge that I have read, understand, and freely accept the above information and will abide by all Club bylaws.
Print Name
Signature
Date