Registration Form – SCOV Pickleball Club

Fill-in ALL the fields in this form and submit it in order to be able to log into this website.

After filling out and submitting this form, you will be taken to our Liability Waiver form to sign and submit it. You’ll get an email copy.

Your registration will be reviewed and then in a day or two your login will be manually activated by one of our webmasters.

All of this is required PRIOR to paying for Membership in the SCOV Pickleball Club.

Once you are logged in, you will be able to click the “Membership Account” menu item (under “Join/Renew” at the top of the page). There you will be able to pay your $10/yr membership dues.

Retype Email

First Name

Last Name

Username

Please use your First and Last names concatenated with no space between ( E.G. WilliamBlake )

Display Name

Firstname (any nickname) Lastname

Password

Retype Password

NOTE: You can choose any password you wish. If a password has already been filled-in for you, just erase it and choose one for yourself.

PB Club member since when?

Approximately when did you join the SCOV PB Club? Month, Year

Your SCOV Address

Your SCOV Street Address

Primary Phone Number

xxx-yyy-zzzz If you have no landline, please enter your mobile number here as well.

Mobile Phone Number

xxx-yyy-zzzz

Spouse or Significant Other

Firstname (Nickname) Lastname ... or ... "None"

Emergency Contact Person

Firstname (Nickname) Lastname

Emergency Contact Phone

xxx-yyy-zzzz

Occupancy of home in SCOV? Full-time Part-time Renter

Which months?

If Part-time or a Renter, which months are you usually in SCOV?

Agree to Liability Waiver? Agree

Do you agree to the PB Club's liability waiver?