Truckee Meadows Pickleball Club Membership 2018-2019 Yearly Application
(TMPC memberships are valid July 1, 2018 through June 30, 2019)
New Member or Renewal *
Last Name *
Your answer
First Name *
Your answer
TMPC Member Number (If known)
Your answer
USAPA Member Number (If known)
Your answer
Gender Doubles Ranking *
Mixed Doubles Ranking *
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Opt Out Permission of Member Only Directory - Please select to allow or not allow TMPC publish my email and phone number on password protected area of website so other players may contact me directly. *
Required
Email Address *
Your answer
Cell Number *
Your answer
Landline Number
Your answer
Emergency Contact (First and Last Name) *
Your answer
Emergency Contact Phone Number *
Your answer
Locations Where You Normally Play *
Required
Agreement, Release & Waiver of Liability - Please read the following section and type your name below as an e-signature.
Agreement, Release & Waiver of Liability: I recognize and understand that there are certain inherent risks to which I will be exposed because of the nature and level of the sports activity in which I have agreed to participate. I understand and agree that the Truckee Meadows Pickleball Club, their agents and officials assume no responsibility for injury or illness that I may sustain as a result of my physical condition or my participation in any Truckee Meadows Pickleball Club event. I understand it is my responsibility to provide my own accident and health coverage and that the Truckee Meadows Pickleball Club, their agents or officials, do not provide any accident or health insurance for their participants or volunteers. I also give permission for the Truckee Meadows Pickleball Club to use or distribute, without limitation or obligation, any record of the events which may include my voice or image. As evidenced by my action of typing my name below, I hereby, for my heirs, administrators and assigns, release, waive and hold harmless the Truckee Meadows Pickleball Club, their agents and officials from any manner of claims or lawsuits that may result from my participation in this sport.
Please type your name below to acknowledge & agree to above statement. *
Your answer
Date *
MM
/
DD
/
YYYY
Yearly Membership Dues are $25/Individual *
Thank you for your membership! Donations are always welcome.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service