Xavier Tennis Camp - Summer LEAP

Summer Camp - Player Registration Form

This program is for players grades 1-8. If you are registering more than one player, you must submit one form for each player separately. Camps are Monday - Friday with full and half day options, at the Cincinnati Tennis and Education Center at the Withrow Campus. Mornings will be tennis, play focused, with some literacy activities lead by Xavier University's Head Tennis Coach, Doug Matthews. Afternoons will include fun activities off the court designed by Educators from Xavier University that are both engaging for players and help fight the summer slide. This includes books, crafts, stem projects, garden projects and more.
Tennis is for everyone.

If your family income is less than $60,000, you can submit income documentation for scholarship pricing. If you are applying for a reduced rate, verification of household income must be submitted with this application, and can be handled by providing support documents for one of the following options: 1. Copy of prior year's tax return. Note: If you do not have a copy of your tax return, you may obtain one by contacting the Internal Revenue Service. 2. Copy of your last two pay stubs. 3. Copy of Social Security or Disability checks, or copy of bank statement showing amount of automatic monthly deposit.
Are you applying for reduced rate tuition?*

YesNo
Income for verification*

Less than $25,000$25,001 - $59,999
Please upload a pdf or jpg file of one of the following: 1. Copy of prior year's tax return. Note: If you do not have a copy of your tax return, you may obtain one by contacting the Internal Revenue Service. 2. Copy of your last two pay stubs. 3. Copy of Social Security or Disability checks, or copy of bank statement showing amount of automatic monthly deposit. *

Cancelof
Player Name*

First NameLast Name
Parent Name*

First NameLast Name
Player Birth Date*

MonthDayYear
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail*
example@example.com
Parent Mobile Number
We make tennis available to everyone by applying for grants to help fund our programs. Please help to answer frequently required grant information by answering the following questions.
What is your family income level?
How would you describe yourself?
What school does your child attend?
If you chose other, please list your child's school.
How did you hear about this program?
Which program would you like to sign up for? *Please note, week 1 is 4 days only due to 4th of July. All other weeks are Monday - Friday.

Monthly Morning Session Only, 9:00-12:00: $250Monthly Full Day Session, 9:00-4:00: $325Week 1: July 5-8, Morning Session only, 9:00-12:00, $60Week 1: July 5-8, Full Day, 9:00-4:00, $75Week 2: July 11-15, Morning Session only, 9:00-12:00, $75Week 2: July 11-15, Full Day, 9:00-4:00, $100Week 3: July 18-22, Morning Session only, 9:00-12:00, $75Week 3: July 18-22, Full Day, 9:00-4:00, $100Week 4: July 25-29, Morning Session only, 9:00-12:00, $75Week 4: July 25-29, Full Day, 9:00-4:00, $100
Which program would you like to sign up for? *Please note, week 1 is 4 days only due to 4th of July. All other weeks are Monday - Friday.

Monthly Morning Session Only, 9:00-12:00: $425Monthly Full Day Session, 9:00-4:00: $675Week 1: July 5-8, Morning Session only, 9:00-12:00, $100Week 1: July 5-8, Full Day, 9:00-4:00, $150Week 2: July 11-15, Morning Session only, 9:00-12:00, $125Week 2: July 11-15, Full Day, 9:00-4:00, $200Week 3: July 18-22, Morning Session only, 9:00-12:00, $125Week 3: July 18-22, Full Day, 9:00-4:00, $200Week 4: July 25-29, Morning Session only, 9:00-12:00, $125Week 4: July 25-29, Full Day, 9:00-4:00, $200
Which program would you like to sign up for? *Please note, week 1 is 4 days only due to 4th of July. All other weeks are Monday - Friday.

Monthly Morning Session Only, 9:00-12:00: $650Monthly Full Day Session, 9:00-4:00: $1000Week 1: July 5-8, Morning Session only, 9:00-12:00, $155Week 1: July 5-8, Full Day, 9:00-4:00, $235Week 2: July 11-15, Morning Session only, 9:00-12:00, $195Week 2: July 11-15, Full Day, 9:00-4:00, $295Week 3: July 18-22, Morning Session only, 9:00-12:00, $195Week 3: July 18-22, Full Day, 9:00-4:00, $295Week 4: July 25-29, Morning Session only, 9:00-12:00, $195Week 4: July 25-29, Full Day, 9:00-4:00, $295
Calculation
A morning snack and/or afternoon snack will be provided for all players. If you chose a full day option, you can pack lunch or lunch will be provided by FreeStore Food Bank and other local organizations. Please choose your option.

Pack lunchLunch provided

USDSummer LEAP Camp

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Summer Camp - Player Registration Form

Tennis is for everyone.

We make tennis available to everyone by applying for grants to help fund our programs. Please help to answer frequently required grant information by answering the following questions.