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Shepherd's Center of Northern Virginia

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SCNOVA Pickleball 2023 Pickleball Info & Waiver Form

Home › SCNOVA Pickleball 2023 Pickleball Info & Waiver Form

SCNOVA Pickleball Mixer & Fundraiser 2023

Registration for October 19th Fun & Fundraising Event

Please check one
If playing pickleball, what is your skill level? Please check one.
Do you work for an older adult community, home health care service or an older adult focused business?
Will you be bringing your own pickleball paddle?
I recognize and understand that there are certain inherent risks to which I will be exposed because of the nature and level of the sports activity in which I have agreed to participate. I understand and agree that the Shepherd’s Center of Northern Virginia (SCNOVA), Worldgate Athletic Club & Spa, their agents and officials assume no responsibility for injury or illness I may sustain as a result of my physical condition or my participation in any SCNOVA events. I understand it is my responsibility to provide my own accident and health coverage and that SCNOVA and Worldgate Athletic Club & Spa do not provide any accident or health insurance for their participants or volunteers. I also give permission to SCNOVA to use or distribute, without limitation or obligation, any record of the events which may include my voice or image. As evidenced by my signature, I hereby, for my heirs, administrators and assigns, release, waive and hold harmless SCNOVA, their agents and officials from any manner of claims or law suites that may result from my participation in the sports.
Please type your name here
This field is for validation purposes and should be left unchanged.

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Services We Offer

  • Caregivers Support Group
  • Friendly Caller Program
  • Friendly Visitor Program
  • Health & Wellness
  • Minor Home Repairs
  • Senior Citizen Transport
  • Social Events
  • Service Territories
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541 Marshall Rd SW
Vienna, VA 22180
(703) 260-9568

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Since 1998, the Shepherd’s Center of Northern Virginia (SCNOVA), a 501(c)(3) non-profit organization, has been dedicated to improving the quality of life as we age, through supportive programs and services, personal enrichment and volunteer engagement that enable our senior neighbors to live full and productive lives while aging in place.

Services

  • Caregivers Support Group
  • Friendly Caller Program
  • Friendly Visitor Program
  • Health & Wellness
  • Minor Home Repairs
  • Senior Citizen Transport
  • Social Events
  • Service Territories

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  • Accessibility

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