RIVER CITY PICKLEBALL CLUB 2021 MEMBERSHIP APPLICATION
The annual dues for club membership are $25 for an individual, $45 for a couple (any two members of the same household), and $5 for each minor child under the age of 16. PLEASE NOTE THAT DUES ARE REDUCED BY 50% BETWEEN JULY 1 AND DECEMBER 15, 2021. ($12.50 for an individual and $22.50 for a couple.)

I wish to become a member of the River City Pickleball Club, a nonprofit organization based in Owensboro, Kentucky and participate in one of the world’s fastest growing sports! Once I hit "Submit" at the bottom, I am signed up!
Today's Date *
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My First Name *
My Last Name *
First Name of second person if signing up as a couple
Last Name of second person if signing up as a couple
My Street Address *
City *
State *
Zip Code *
My Email *
Email of second person if signing up as a couple
My Cell phone number (i.e. 1234567890) *
Cell phone number (i.e. 1234567890) of second person if signing up as a couple
Emergency Contact (First & Last Name) *
Emergency Contact Phone Number (i.e. 1234567890) *
What is your self-rated player rating? *
What is the self-rated player rating of the second person, if a couple?
Annual Club Dues (Cost is 50% less after 7/1) *
Required
Name(s) of minor child(ren) under the age of 16 being added to membership:
RELEASE of LIABILITY, WAIVER of CLAIMS, ASSUMPTION of RISKS AGREEMENT for Individual and/or couple In consideration of being permitted to participate in any way and at any date in the RIVER CITY PICKLEBALL CLUB (RCPC) activities and events, I, for myself, my heirs or assigns, do hereby release, waive, discharge and covenant not to hold anyone associated with organizing the events responsible for any illness or injury I may sustain while playing or attending the events. I fully realize, understand and accept that there are certain inherent risks to which I will be exposed because of the nature and level of the sports activity for which I have registered. I understand and agree the RCPC BOARD OF DIRECTORS or any parties associated with organizing, teaching or playing the game of pickleball in the name of the RCPC assumes no responsibility for injury or illness I may sustain as a result of my physical condition or my participation in any of the RCPC’s activities and events. *
Required
By typing in my name below, this shall serve as my electronic signature *
By typing in the second person's name below, this shall serve as their electronic signature
The annual dues for current members will remain $25 for an individual, $45 for a couple (any two members of the same household), and $5 for each minor child under the age of 16. PLEASE SEND YOUR DUES CHECK (PAYABLE TO RCPC) TO: CYNTHIA SCHADLER, RCPC TREASURER 3318 SHADEWOOD TERRACE, OWENSBORO, KY 42303 Or PayPal https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=82ASUCYXTFABJ
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