St. Roch

Mondays 6:15-8 pm, 200 Valleyway Dr., Brampton, Enter left side

St. Roch Pickleball Registration Form

Mondays 6:15-8 pm, 200 Valleyway Dr., Brampton, Enter left side

Player Profile

Your First Name

Your Last Name

Email Address

Phone Number

Street/Unit/Suite Number

Street

City

Province/State

Postal Code

Country

Date of Birth

Gender at Birth

Choose Your Game

Skill Level

Games Schedule Information

Guaranteed 14 nights/Jan - May

There are 16 nights currently avail. You are guaranteed 14.

Gyms ABC; 6-9 courts; Max. players 42; Lessons available

Choose Your Game Nights PackageChoose Your Game Nights Package*$99/Jan-May (+tax) (Space is limited. All prices are subject to change without notice.)$10/drop-in (+tax)

Refund Policy: There are no refunds within 14 days of the start of the program. However, you may find a sub and they can pay you for days missed.

FOR DROP-IN: Please only select dates within one week in advance. Drop-in payments need to be received no later than the night before the selected date.

Add-ons & Options

Are you subbing in for another paid player? Are you subbing in for another paid player? YesNo

First name of paid player

Last name of paid player

Were you referred by someone to register here?Were you referred by someone to register here?YesNo

Referrer first name

Referrer last name

Referrer email

Referrer phone number

Lessons and drills are available by request; those interested will be contacted with more information.

I am interested in lessons and drills

Emergency Details & Waiver

Emergency contact name

Emergency phone

Emergency contact relation

Any current injuries or limitations that may affect participation?

Any known medical conditions?

Do you use medication as needed? Example: Inhaler, EpiPen or other (If yes, please indicate the medication below)Do you use medication as needed? Example: Inhaler, EpiPen or other (If yes, please indicate the medication below)YesNo

Will you need assistance when using any of the said medication as needed?Will you need assistance when using any of the said medication as needed?YesNo

Medication used

How did you hear about us?

News and updates via emailNews and updates via emailI would like to receive event and product discounts via email.

Other way you've heard about us

AgreementAgreementI have read the waiver below and agree

Waiver Agreement: I fully understand that there are risks involved with my participation, and/or my child’s participation. I release and discharge Corporate Sports Inc., DAREtoLOVE Sports Club, the Founder, all executives, staff, volunteers, coaches, officials, coordinators, affiliates, the Dufferin Peel Catholic District School Board, the Peel District School Board, and all facility permit providers from all actions, suits, and demands whatsoever in law or in equity, including by not limited to the risk of injury from participating at any of the said entity’s event(s), activity, activities, and/or programs) and the risk of loss of personal property by theft or otherwise. We cannot permit your participation at this event without your media release consent.

Media Consent: With my participation and/or submission of this Registration; I give Corporate Sports Inc., Corporate Sports Plus, DARE to LOVE Sports Club, PKLballWorld.com, PKLballPlus.com, and their affiliates, the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of the photographed or filmed images and likeness of myself and/or my child or children taken during any Corporate Sports Inc. or DARE to LOVE Sports Club event(s), activity, activities, and/or program(s), for promoting, publicizing, marketing and advertising purposes without monetary compensation or otherwise. We cannot permit your participation at this event without your media release consent.

Refund Policy: There are no refunds within 14 days of the start of the program. However, you may find a sub and they can pay you for days missed.

Review Other Policies:
Code of Conduct
Concussion Protocol
Emergency Action Plan

By clicking here, you agree with the Waiver Agreement and give consent to Corporate Sports Inc., DARE to LOVE Sports Club and any other permitted media to use your images and likeness of your image(s), the use of your child or children’s image(s) and likeness of their image(s) for videos for marketing, promoting, and media purposes.

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