Membership and Liability Form

Due to court closures/limited play opportunities as a result of the Covid-19 pandemic, the Sequim Picklers Board has set 2020/2021 membership dues to $0. A monetary donation of your choice to help support our future playing expenses and club activities will be accepted, but not required, to become a club member in 2020. 
(Use the Paypal Donate button below).
 

 

Sequim Picklers Membership Form

We are happy to have YOU as a NEW MEMBER!!

Please read the required Liability Waiver, complete the form below and SEND, then mail your check to Sequim Picklers, PO Box 3441, Sequim, WA. 98382.  

GOLD – $2,500 or above

SILVER – $1,000 or above

BRONZE – $500 or above

BASIC – Individual – $75 Annual Dues         Household – $125 Annual Dues

Monthly – $25 per month

Click on Fee Schedule for details.

Sequim Picklers Membership Fee Schedule

 

Note: Members under 18 years of age pay no dues.

Membership & Liability Form
Age *
Liability Waiver: In consideration of being permitted to use the facilities, on behalf of myself, my family, my heirs, and my assigns, I hereby release the Sequim Picklers, their employees, and agents, from liability for injury, death, or loss suffered by me, while using the facilities, or in any way associated with participating in any and all Sequim Picklers activities now or in the future, resulting from ordinary negligence of Sequim Picklers, their agents, or employees. By the execution of this agreement, I assume full responsibility for any and all injuries or damages which may occur to me (including loss or theft of personal property) as a result of negligence on the part of Sequim Picklers, or their agents or employees. I affirm there are inherent risks in all health, fitness and sports activities that I am aware of, and appreciate, these risks, and I assume all responsibility for personal injury, death, or loss resulting from these injuries. The undersigned hereby agrees to defend, indemnify, and hold harmless Sequim Picklers, their officers, employees and agents from and against any and all loss, liability charges and expenses (including attorney’s fees) and costs which may arise by reason of my voluntary participation in any activities. Sequim Picklers shall not be liable for any damages arising from personal injuries sustained by me. The undersigned assumes full responsibility for any injuries or damages that may occur to me or my property during my voluntary participation and do hereby fully and forever release and discharge Sequim Picklers and their agents, from any action or cause of action present or future, whether the same be known or unknown, anticipated or unanticipated, resulting or arising out of my voluntary participation. I certify that I am the parent or legal guardian of the participant named above, that I have read and understand the foregoing release and that I join the release without reservation, granting full consent and authorization for the above-named person to participate in the activity. *
Please Check One *
Please select your desired membership level *
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Be Sure to SEND your form above.  Mail your check, made out to Sequim Picklers, to PO Box 3441, Sequim, WA 98382.  Thank you!!