Event Registration Checkout - Amateur League PickleballAmateur League Pickleball

You have selected the ALP@LaPine membership level.

The price for membership is $60.00 now.

The price for player Registration is $60 now.

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Player More Information

Fist Name

Last Name

Phone Number (No Hyphens)

OK to Receive Event Related Text messages?

Yes

No

Gender

Male

Female

Birth Date

Club or Home Court Name

Home or Apt#

Street/Road

City

State

Zip Code

Country

DUPR Member Provided

Club or Core or Self Rating for Tournament

Emergency Contact Name

Emergency Contact Telephone # (No Hyphens)

Team Member (Solo Player Enter Solo)

Division (Skill Rating Preferred)

Team Name (if known)

Team Captain (if known)

Team Member #1 (if known)

Team Member #2 (if known)

Team Member #3 (if known)

Team Member #4 (if known)

Card Number

Expiration Date

CVC