New Member Registration 2006

ROCKLEDGE PARK RACQUET ASSOCIATION, INC.

2011 Membership Application

January 1st Thru December 31, 2011

Member Registration Form

First and Last Name:

Address 1:

Address 2:

City, State, Zip

Type of Membership

Spouse Name

Child Name

E-Mail Address:

Message:

Electronic Signature

THIS INFORMATION IS VERY IMPORTANT. ALL UPDATES, NEWSLETTERS, TOURNAMENTS, AND SOCIALS WILL BE SENT VIA E-MAILrn rn rnMembership dues must be current to participate in any Rockledge Home League Play in order to comply with the Sanction Agreement between RPRA and the Brevard County Parks and Recreation.rn rn By Clicking SUBMIT You are aware this is a non-profit organization formed to promote tennis at all levels. I hereby, for myself, my heirs, executors and administrators, release forever and discharge the Rockledge Park Racquet Association, Inc., their agents, servants, representatives, successors, assigns, members, officers, and all other persons or bodies connected with the Rockledge Park Racquet Association, Inc. , from all and any rights claims, demands and any actions whatsoever that I may have for any loss. damage or injury sustained by me or minors for whom I am signing or their equipment during any activity sponsored by the Rockledge Park Racquet Association, Inc. rnTHIS CONSTITUTES AN ELECTRONIC SIGNATURE.rn