Clinic Form – Lake City Pickleball

Pickleball Clinic Registration
I (we) are reserving spots at the beginner’s pickleball clinic to be held October 3, 2020 at the outdoor courts at Richardson Community Center.

Participant Information *

First

Last

Email *

Phone Number *

Mailing List

Please add me to your mailing list for future events

Emergency Contact *

First

Last

Name and Phone Number

Waiver Agreement *

I have read and agree to the terms and conditions of the waiver.

I recognize and acknowledge that when participating in Columbia County Recreation or Lake City Pickleball events and activities that there are certain risks of physical injury or infection to participants. I agree to assume all risks, and accept personal responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death). This includes any illness, damage, loss, claim, liability or expense, of any kind or nature, that I may suffer arising out of or in connection with becoming exposed to or infected by COVID-19 while participating in an event at the Richardson Community Center. I hereby release, covenant not to sue, and forever discharge the Columbia County Recreation Department and RCC/AMN, its employees, agents, and representative, of and from all liabilities. I waive and relinquish all claims that I or my insurer may have against the officers, agents, servants and employees from any and all claims from injuries, damages or loss which I may have or which may accrue to me on account of my participation in the above program.

Fee: $5 per participant. Fee is nonrefundable. If the event is canceled due to weather or other unforeseen circumstances, we will offer the choice between rescheduling or refund of your fees.

NOTE: You can pay here without filling out the form if you already completed the form earlier.