Free Kids' Pickleball Clinic Sign-Up Form & Release of Liability
Thank you for your interest in the Dewey Fellowship Free Pickleball Clinic. We are very excited! Please fill out the form below. If you are signing up multiple participants, please complete a separate form for each.  

June 17-22 from 5:00PM - 6:30PM
Antelope Park, Prescott Valley
Gear and light snacks will be provided.

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Participant's Full Name *
Participant's Age *
Parent/Guardian Full Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Emergency Contact Name & Phone Number *
Participant's Prior Pickleball Experience *
Tournament Entry
If you would like to sign up for the optional tournament on Saturday, June 22, please click the link below:
FOOD ALLERGY INFORMATION
Light snacks will be provided. Please describe any food allergies we should be aware of for the participant.

RELEASE OF LIABILITY FOR PARTICIPATION IN EVENT OR ACTIVITY 

In exchange for participation in the Free Kids' Pickleball Clinic (the “Activity”), organized by: Dewey Fellowship located at 14500 E Eagle Dr, Dewey, AZ 86327 (“Releasee”), I hereby agree as follows:

1. I and anyone claiming on my behalf release and forever discharge Releasee and its affiliates, successors and assigns, officers, employees, representatives, partners, agents and anyone claiming through them (collectively, the “Released Parties”), in their individual and/or corporate capacities from causes of action of any nature and kind, known or unknown, which I may have against Releasee or any Released Parties arising out of or relating to any injury, loss or damage to person and property that may be sustained as a result of participation in the Activity (“Claims”).

2. I understand that participation in the Activity involves inherent risks, including injury, pain, suffering, illness, disfigurement, temporary or permanent paralysis and/or death, and I assume all related risks and voluntarily participate in the Activity.

3. I agree to indemnify Releasee against any and all claims, actions, lawsuits, damages and judgments, including attorney’s fees, arising out of or relating to my participation in the Activity.

4. This Release for Participation in Event or Activity (“Release”) shall not be in any way construed as an admission by the Releasee that it has acted wrongfully with respect to me or any other person, that it admits liability or responsibility at any time for any purpose, or that I have any rights whatsoever against the Releasee.

5. This Release shall be binding upon the parties and their respective heirs, administrators, personal representatives, executors, successors and assigns. I have the authority to release the Claims and have not assigned or transferred any Claims to any other party. The provisions of this Release are severable. If any provision is held to be invalid or unenforceable, it shall not affect the validity or enforceability of any other provision. This Release constitutes the entire agreement between the parties and supersedes any prior oral or written agreements or understandings between the parties concerning the subject matter of this Release. This Release may not be altered, amended or modified, except by a written document signed by both parties. The terms of this Release shall be governed by and construed in accordance with the laws of the State of Arizona.

6. By typing my name below as my electronic signature, I acknowledge that I have carefully read and fully understand all the provisions of this Release and am freely, knowingly and voluntarily entering into this Release.

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