Join Culpeper Pickleball Club

Online Application

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Personal Information

First Name

Last Name

Mailing Address

City/State/Zip

Mobile Number

Emailemail address should preferrably match your DUPR account if you already have one.

Emergency ContactFull Name

Emergency Contact Number

Emergency Contact Relation

Additional Information

Current Ageas of January 1 of this year, must be 18 or older to apply

Do you have a DUPR account

YesNo

Player name on DUPR accountfull name

Your current DUPR score if applicable

Your current UTPR score if applicable

How did you hear about Culpeper Pickleball Club?

Culpeper Pickleball Club dba Culpeper Pickleball (referred to as CPC) Mission:

CPC is a non-stock corporation that has been organized exclusively to organize and promote the sport of pickleball in Culpeper and Culpeper County and the surrounding area for the enjoyment, health, and socialization of all participants through organized recreational and competitive play, by providing educational development opportunities for all participants, and by working together to expand, improve and enhance the type and number of pickleball court facilities within the designated region. CPC is in the process of filing for501(c)(3) non-profit status. As an Affiliate of Culpeper Pickleball Club I acknowledge that the CPC community depends upon the efforts and sacrifices of volunteers and non-profit contributors. As a dues paying Affiliate I vow to uphold, promote and assist with the CPC Mission. I will not engage in activities contrary to the CPC Mission and I will uphold the CPC Code of Conduct. If I do not do so my Affiliation may become forfeit. Above all, I agree to grow the sport of pickleball in Culpeper County, assist in teaching others the sport, and conduct myself in a fair and sportsmanlike manner at all times. I understand that the payment of annual Affiliate’s dues are necessary to cover expenses such as Club insurance, USAP Official Club annual dues, and the purchasing of balls and equipment for programming, etc. I commit to pay my annual affiliate’s dues each year prior to the January 1st due date. Dues paid today in the amount of $20, and an initiation fee of $20, will grant me affiliation with the CPC from the date signed until December 31st of this year. Future Annual Affiliates dues not paid by the January 1st due date may result in removal from the CPC, access to CPC communications, and an initiation fee for re-registration. I also understand that additional programming may incur additional cost, but that, as a non-profit corporation, CPC will endeavor to keep costs at a minimum and may offer discounts to affliates of the CPC for prompt registration for said programs.

Release, Permission, and Indemnity Agreement

Release. In consideration of being permitted to participate in any way in the Culpeper Pickleball Club, I, for myself, my heirs or assigns, hereby release, waive, discharge and covenant not to sue the USA Pickleball (USA Pickleball Association) as well as: Culpeper Pickleball Affiliates, Culpeper Pickleball Club Board of Directors, their officers, employees and agents from liability from any and all claims resulting in personal injuries, death, accidents, illnesses (such as communicable diseases including COVID-19), and property loss arising from, but not limited to, participation in Club activities.

Assumption of Risk. Participation in the Club carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary but include 1) minor injuries such as bruises, sprains and dehydration, 2) major injuries such as eye injuries, joint or back injuries, heat stroke, heart attacks, and concussions, and 3) catastrophic injuries such as paralysis and death. I have read the previous paragraphs and I know, understand and appreciate these and other risks that are inherent in playing pickleball. I assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless. I also agree to indemnify and hold the USA Pickleball and all named above harmless from any and all claims, actions, suits, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in the Club.

ACCEPT RELEASE, PERMISSION and INDEMNITY AGREEMENT

Yes

Culpeper Pickleball Club Code of Conduct

Remember: Pickleball is only a game. A social game.
Familiarize yourself with the posted rules at the venue you are playing at.
Wait until play/the point has stopped before crossing another court.
Learn the current rules. They may be found at the USA Pickleball website.
If the ball is out on your side, call it out. If there is no gap between the line and the ball, give the benefit to your opponent. These are the rules of pickleball, and all are expected to follow them. Never make calls for your opponent’s side of the court.
Never ask for (nor accept) line calls from spectators.
Good sportsmanship is expected of all CPC affiliates.
If you want a stronger/more competitive game, stack your paddles together as a group and wait your turn. Stacked paddles may not be rearranged without paddle owners permission. You may NOT jump the queue if next in line needs more players for a foursome. Please facilitate matchups to speed things along.
When the players on the opposing team are unequal in skill, avoid targeting the weaker player. Play the stronger player equally or understand they may not want to play with you in the future. Your game will improve by challenging the better player.
Stronger players, play the weaker players in a way that helps them to develop.
Weaker players please appreciate time spent by stronger players. Understand that most are willing to educate for a game or two, but they are there to improve also.
Communicate with your partner and opponents to manage expectations, avoid confusion, and create a safe environment.
Every game should end at the net with a paddle tap and a “good game.” NEVER leave a game withoutacknowledging the other team.
Before offering advice, ask fellow players if they would like to receive it first.
New players grow the sport, please remember if you bring a guest to open play, that you are their teacher and stay with them until they are comfortable.
Teaching takes time. When space is limited spend no more than 20 mins on the court if players are waiting and rotate back in when it’s your turn.
CPC Affiliates are expected to follow the posted rules at the venues where CPC events are held.
Please contact any of our CPC Board Members with any issues or concerns you may have DIRECTLY via emailat play@culpeperpickleballclub.org

As Culpeper Pickleball Club Affiliates you are requested to adhere to the spirit of these rules when situations arise that are not covered here. Our overriding concern is for the safety and enjoyment of all of our affiliates.

Above all: BE KIND. HAVE FUN. PLAY MORE PICKLEBALL

I have read and accept the CPC Code of Conduct and will adhere to them as an affiliate member.

ACCEPT CODE OF CONDUCT

Yes

Use Permission

I also give USA Pickleball, the “Club” and its agents and designees permission to use or distribute, without limitation or obligation, my image, name, voice, and words for any purpose connected with the Club, including promotional, marketing, training,, informational, and archival uses.

Use Permission

YesNo

Participant Nameyour full name

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