Innisbrook Tennis Camp Registration Form

Tennis Camp Registration and Consent
If you have any questions, please contact our Tennis Center Admin. Helen Latta at hlatta@innisbrookresort.com or 727-942-5421.

*Please note that a 48-hour notice is required to register your child.
Parent/Guardian Information
Parent/Guardian Name *

First Name Last Name
Relationship *
Phone Number *
Please enter a valid phone number.
Primary Email *
*Important camp information and updates will be sent to the email address on file.
Parent/Guardian Name

First Name Last Name
Relationship
Phone Number
Please enter a valid phone number.
Email
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Child Information
Child's Name *

First Name Last Name
Child's Gender *
Child's Date of Birth *

Month Day Year
Child's Age *
Swimming Ability *
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be proficient a swimmer. No flotation devices are permitted on the slides.
If you are registering more than one child, please fill out the fields below for each child.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be proficient a swimmer. No flotation devices are permitted on the slides.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be a proficient swimmer. No flotation devices are permitted on the slides.
Child's Name

First Name Last Name
Child's Gender
Child's Date of Birth

Month Day Year
Child's Age
Swimming Ability
(Children that are over 48" and a proficient swimmer may ride the slides. Children that are 42”– 48” must have a signed waiver on file and child must be a proficient swimmer. No flotation devices are permitted on the slides.
Any Known Allergies? *

Yes No
If yes, please list below:
Any Medications? *

Yes No
If yes, please list below:
Other Known Conditions *
*If none, please type N/A
Emergency Contact

The person(s) listed below are authorized to pick up my child from Camp Nessie
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Relationship *
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Relationship
Camp Dates

*A 48-hour notice is required for all camp dates
Please select the camp week(s) you are signing up for *

Week 1: May 31 - June 4 (No Monday Camp) Week 2: June 6 - June 10 Week 3: June 13 - June 17 Week 4: June 20 - June 24 Week 5: June 27 - July 1 Week 6: July 5 - July 9 (No Monday Camp) Week 7: July 11 - July 15 Week 8: July 18 - July 22 Week 9: July 25 - July 29 Week 10: August 1 - August 5
Please select which day(s) you would like to attend *

Monday Tuesday Wednesday Thursday Friday Full Week
Waivers and Releases
Release statement: The undersigned parent or legal guardian of the child/children listed above hereby consents and authorizes participation in Innisbrook, A Salamander Resort’s Recreation, Golf, and Tennis Department's Youth Program. I understand that my child/children will engage in a number of sports and activities that require physical exertion and acknowledge that there is a risk of personal injury to my child/children. In consideration for Innisbrook Resort recreation accepting the above names children into the Youth Program, I do hereby for myself, my spouse, my children, my heirs, personal representatives and assigns, forever discharge Innisbrook Resort, its agents, servants, associates, officers, directors, affiliates, sureties, successors, and either in law or equity, arising from or as a result of my child/children's participation in Innisbrook, A Salamander Resort’s Recreation, Golf, and Tennis Department's Youth Program.
Name *

First Name Last Name
Signature *

Clear
Photo/Video Waiver: I knowingly give consent for the release of any photographic images that may be taken during my child’s participation in Innisbrook's Tennis Camp for the use by Innisbrook Resort, A Salmander Resort for use by Innisbrook Resort for its publications, promotional materials, website, social media, advertisement, press releases, and/or any other sanctioned materials. I hereby grant permission to the rights of my child’s image, likeness and without payment or any other consideration. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.
Name *

First Name Last Name
Signature *

Clear
Payment Information
To complete payment, please see below:

Daily Rates - please click here to pay

Weekly Rates - please click here to pay

Innisbrook Staff - please click here to pay
Member Number
*For Innisbrook Members
Staff Department
*For Innisbrook Service Professionals
Any additional notes or requests for the tennis camp?
Should be Empty:

Tennis Camp Registration and Consent

Parent/Guardian Information

Child Information

Emergency Contact

Camp Dates

Waivers and Releases

Payment Information