Delta Pickleball Assoc. Membership Application
Please join our club and help support Pickleball in Delta. Membership fees for 2018 are only $20/year per member. Fees help cover operational costs of the club, balls, lobbying for times and facilities with Delta, insurance, website, and newsletter costs. By joining the Delta Pickleball Association, you automatically also become a member of both the PickleballBC and Canada Pickleball Associations. After completing this registration form, you will receive a confirmation email with payment information. It's best to register with PayPal before clicking on this link, if you do not already have an account. You can also just click on this link: www.paypal.me/deltapickleballorg/20 - or for those that don't use Paypal you can mail a cheque for $20 to Delta Pickleball Assoc., #347-1674 56 St., Delta, B.C., V4L 2M5.
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Last Name: *
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Email *
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Address: *
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Area/City: *
Cellular Number: *
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Home Phone Number: *
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Age: *
Sex: *
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Do you wish to receive 'short notice' email/texts for additional outdoor pickleball times: *
Required
Do you agree to have group photos of yourself included on our web site? *
Required
Communications and Privacy:
To be in compliance with PIPA (B.C.'s Personal Information Protection Act) Delta Pickleball and Pickleball BC advises you that the collection of any and all personal data will be for the sole purpose of supporting you in your endeavours to play pickleball and the furtherment of the sport of pickleball. This information may be shared, where reasonable, with other organizations with the same pursuits, for example: Pickleball BC, Pickleball Canada Organization (PCO), and a tournament committee if you have expressed interest in participating. Your personal data will NOT be shared with, unless you have given specific authority to do so or as required by law, any commercial venture or any other non pickleball association or interest.
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Liability Waiver:
RELEASE OF LIABILITY, WAIVER OF CLAIMS,
ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
(hereinafter referred to as the “Release Agreement”)
BY AGREEING TO THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS,
INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT
PLEASE READ CAREFULLY!
This Release Agreement shall apply to all subsequent membership renewals.
TO: PICKLEBALL CANADA ORGANIZATION, and its affiliated provinces and territories and its local associations
and clubs, and their respective directors, officers, employees, instructors, agents, representatives, volunteers,
independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the
“Releasees”).

ASSUMPTION OF RISKS
I am aware that participating in the sport of pickleball involves many risks, dangers and hazards including, but not limited to: collision with other persons or objects; being struck by a paddle; being hit by a ball; the risk of stroke, heart attack or other similar life threatening conditions caused by physical exertion; the risk of personal injury including, but not limited to, strains, sprains, fractures, brain injury, spinal cord injury including paraplegia or quadriplegia, or death; loss of balance or control; slips, trips and falls; negligent first aid; failure to act safely or within one’s own ability; negligence of other persons; and, NEGLIGENCE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE. I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of the Releasees accepting my application for membership in the Pickleball Canada Organization and, as
applicable, my affiliated province or territory and local association or club, and permitting my use of the facilities and
premises provided by the Releasees (hereinafter “the premises”), I hereby agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE RELEASEES, and TO
RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I
may suffer, or that my next of kin may suffer, as a result of my participation in the sport of pickleball including, but
not limited to, my use of the premises DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER ANY PROVINCIAL OCCUPIERS’ LIABILITY LEGISLATION ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.
2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or
personal injury to any third party, resulting from my use of or presence on the premises;
3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns
and representatives, in the event of my death or incapacity;
4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall
be governed by and interpreted solely in accordance with the laws of the Province or Territory of [choose home province
or territory] and no other jurisdiction; and
5. Any litigation involving the parties to this Release Agreement shall be brought solely within the Province of British Columbia, and shall be within the exclusive jurisdiction of the Courts of the Province of British Columbia.
In entering into this Release Agreement I am not relying upon any oral or written representations or statements made by the Releasees with respect to the safety of pickleball other than what is set forth in this Agreement.
I HAVE READ AND UNDERSTAND THIS RELEASE AGREEMENT AND I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.

Do you agree to the preceding Liability Waiver: *
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