Stadium Pickleball Program Placement Request and Registration

Player Information

Title*:

First Name*:

Last Name*:

Date of Birth*:

Pickleball Level*:

*Please tell us a little bit about the state of your game. What area(s) of your game would you like to see improve? (i.e. fundamentals, conditioning, match play, strategy) *

Please tell us a little bit about your previous racket sport experience.*

Contact Information

Home Address*

City*

Zip Code*

Home Phone*

Work Phone*

Cell Phone*

Email*

Select your preferred programming*

LeaguesOpen PlayGroup ClinicsPrivate LessonsOther

What times would work best?*

Weekday MorningsWeekday AfternoonsWeekend Afernoons/EveningsOther

If Other, please specify below:

How did you hear about us?*

Credits for cancellations by customer are issued at Stadium Tennis Center’s sole discretion. No refunds. I understand and acknowledge that the risk of injury is inherent in any program involving physical activity. I, *, hereby waive and release any and all full rights and claims for damages I may have against Stadium Tennis Center, NYTennis at Mill Pond LLC, The City of New York, its principals, agents, staff and pickleball and tennis professionals, for any and all injuries sustained by the player. NY Tennis at Mill Pond, LLC is hereby relieved of any liability as a result of negligence. I so hereby give my consent to medical emergency or otherwise, inclusive of necessary transportation in order to receive treatment in the event of injury or any other illness.

Stadium Pickleball Program Placement Request and Registration

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