A free pickleball clinic for students will be held on July 17 and 18 at the Woodbourne Park Pickleball Courts. This is a two-day clinic. Register only if your child can attend both days. Registration is limited to the first 16 registrants per age group. Attendees must be students of the Sussex-Wantage or High Point Regional School Districts. The two age groups are grades 2 to 5 and grades 6 to 10. Clinic includes use of pickleball paddles and balls, water and snacks, and instruction by pickleball expert.

Pickleball Clinic Registration Form

Thursday & Friday, July 17th & 18th, 2025
(registration includes both days of the clinic)

Deadline to submit registration form is 4PM, July 16.

Child's Name(Required)

Enter the first and last name of child

Group(Required)

Select the age group for your child

Group 1 (Grades 2-5 as of September 2025. 9 to 11 AM)

Group 2 (Grades 6-10 as of September 2025. 11 AM to 1 PM)

School Attending in September(Required)

Select the school district

Sussex-Wantage (Lawrence, Wantage Elementary, Sussex Middle)

High Point (High Point Regional High School)

Child's Address(Required)

Enter the street address of the child.

Parent/Guardian Name(Required)

Enter the full name of the child’s parent or legal guardian.

Parent Phone(Required)

Enter the phone number of parent

Parent Email(Required)

Enter the email of the parent.

Enter Email Confirm Email

Emergency Contact(Required)

Is the emergency contact person and phone number different than the parent/guardian entered above?

Yes. Emergency contact person is the parent/guardian listed above

No. The emergency contact person is different

Emergency Contact Person

Enter the full name of the emergency contact if not the parent/guardian listed above.

Emergency Phone

Enter the phone. number of the emergency contact person.

Participation Waiver

Please read the following paragraphs and initial if you consent.

Release of Liability:

I, the undersigned, hereby acknowledge that participation in sports and recreational activities involves inherent risks which may cause injury, including but not limited to physical or emotional injury, paralysis, death, or damage to property. I voluntarily assume all risks associated with my child’s participation. I agree to release, discharge and hold harmless the township and its facilities, employees, agents and volunteers from any and all liability, claims, demands or causes of actions that I may have to injuries or damages arising out of or connected with participation. *required for participation.

Consent to Release of Liability(Required)

Enter your initials to consent.

Medical Condition and Emergency Treatment:

I confirm that the participant has no medical conditions that would prevent participation. In an emergency, I consent to medical treatment deemed necessary by qualified personnel. *required for participation *required for participation.

Consent to Emergency Treatment(Required)

Enter your initials to consent.

Photo and Video Release:

I grant permission to use photographs or videos of the participant taken during this clinic for promotional purposes through official township use only, unless this release is not initialed.

Photo and Video Release

Enter your initials to consent.

Full Name of Parent/Legal Guardian(Required)

Enter the full name of the parent/legal guardian

First Middle Last

Signature of Parent/Legal Guardian(Required)

Sign here. You may use a mouse, stylus, or finger, depending on the device you are using.

Comments

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