Veloz Pickleball Clinic 2023
November 10—12, 2023 | Lake Arrowhead, CA

Must register for both weekend nights, partial stay not available.

Package Per Person Rates:

One Person - $997.00 ($1,058.14) inclusive of tax
Two People - $1,344.00 ($1,420.82 inclusive of tax)
Three People - $1,691.00 ($1,783.46 inclusive of tax)
Four People - $2,038.00 ($2,146.14 inclusive of tax)

^* Please note once your registration is submitted, we will update your reservation with confirmed number of packages and a final confirmation letter with a grand total will be sent out to you via email. You will be charged the final balance at time of departure.

Registration Form

To register for the VELOZ Pickleball Clinic, please complete and submit the form below by September 30, 2023. Once you have submitted your registration, you will receive an email confirmation within 24-48 hours. The email confirmation will include total amount due.

Please note: No modifications or cancelations are allowed after November 1, 2023. Should you have any questions regarding your reservation, please contact Cassiopeia Figueroa directly at (909) 336-7058.

* Fields marked with an asterisk are required.

Contact Information

Name*

First Last

Address*

Street City State ZIP Code

Phone*

Alternate Phone

Email*

Parking Information

Please list the cars your party will be bringing:

Make/Model

Color

License Plate #

Make/Model

Color

License Plate #

Guest Information

Guest One*

First Name Last Name

Guest One Clinic Choice

Guest One T-Shirt Size

Guest One Dietary Restrictions

Please specify:

Guest Two

First Name Last Name

Guest Two Clinic Choice

Guest Two T-Shirt Size

Guest Two Dietary Restrictions

Please specify:

Guest Three

First Name Last Name

Guest Three Clinic Choice

Guest Three T-Shirt Size

Guest Three Dietary Restrictions

Please specify:

Guest Four

First Name Last Name

Guest Four Clinic Choice

Guest Four T-Shirt Size

Guest Four Dietary Restrictions

Please specify:

Guest Five

First Name Last Name

Guest Five Clinic Choice

Guest Five T-Shirt Size

Guest Five Dietary Restrictions

Please specify:

Guest Six

First Name Last Name

Guest Six Clinic Choice

Guest Six T-Shirt Size

Guest Six Dietary Restrictions

Please specify:

UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice

ALL participants must read the following and sign the "Acknowledgment of Understanding" below, including parents on behalf of all minor children.**

WAIVER OF LIABILITY: In consideration of being permitted to participate in any way in Water Skiing, Boating, Fishing, Hiking, Mountain Biking, Riflery, Archery, Swimming, Horseback Riding, Paint Ball, Ice Skating, Ropes Course, Softball, Football, Volleyball, Tennis, Basketball, Cardio Kick Boxing, Massage Services, Yoga, Pilates, and any other activity associated with or undertaken at Bruin Woods hereinafter called “The Activity,” I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue the Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents, or illnesses (including death) and property loss arising from, but not limited to, participation in The Activity.

ASSUMPTION OF RISKS: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions 3) catastrophic injuries including paralysis and death.

INDEMNIFICATION AND HOLD HARMLESS: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.

SEVERABILITY: The undersigned further expressly agrees that the foregoing Waiver and Assumption of Risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

PHOTOGRAPHY/VIDEO NOTICE: Photographs and/or video will be taken during this event. I consent to the use of these photographs and/or videos taken of myself while attending this event for the purpose of advertisements and communications for future promotion.

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest One*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest One*

First Last

Guest One Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Two*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Two*

First Last

Guest Two Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Three*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Three*

First Last

Guest Three Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Four*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Four*

First Last

Guest Four Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Five*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Five*

First Last

Guest Five Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Six*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Six*

First Last

Guest Six Date

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest Seven*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Participant/Guest Seven*

First Last

Guest Seven Date

**PARENT ON BEHALF OF ALL MINOR CHILDREN:*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

Name of Parent on Behalf of All Minor Children*

First Last

Parent on Behalf of All Minor Children Date

Pickleball Clinic Registration