JUNIOR TENNIS CAMP
sponsored by Perth Tay Tennis Club
Name of Parent/Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Name of Child #1
*
First Name
Last Name
Age as of July 1, 2026
*
Health Card Number
*
Please list any allergies or other health situations the staff should be aware of
*
Emergency Contact Name and Telephone Number (if different from first page)
Check week(s) attending camp
*
July 6
August 10
August 17
Name of Child #2
First Name
Last Name
Age as of July 1, 2026
Health Card Number
Please list any allergies or other health situations the staff should be aware of
Emergency Contact Name and Telephone Number (if different from first page)
Check week(s) attending camp
July 6
August 10
August 17
If more than two children are attending please fill out another application.
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PAYMENT The cost of a week of camp is $380. There is a 10% discount for any subsequent week for the same participant. There is a 10% discount for a second participant attending the same week as the first participant. This application form will be accepted only upon receipt of payment. Payment can be made by e-transfer to payment@perthtaytennis.ca, or cheque payable to the Perth Tay Tennis Club, sent to Tom Baumgartner, 396 Gold Creek Rd., Lanark, ON K0G 1K0. REFUND POLICY With two or more weeks notice, participants are eligible for a full refund, less a $50 fee. With at least one week notice, participants are entitled to a credit, allowing them to move their child to another week or alternatively to register another child. Credit may be transferred to the following year but Perth Tay Tennis Club does not commit to operating the Youth Tennis Camp the following year. With notice of less than one week, no refund or credit is available. AGREEMENT By submitting this application form, you acknowledge that: 1. Although every effort is made to send campers home with all of their belongings, the Perth Tay Tennis Club is not responsible for any loss or damage. 2. The daily program is planned and implemented entirely by the staff of the camp who are qualified, certified tennis instructors which Perth Tay Tennis Club have contracted for this purpose. 3. Your child will follow all reasonable instructions from the staff of the camp while participating in the program. 4. The camp instructor reserves the right to cancel a child’s participation in a camp session if their behavior is deemed unmanageable or dangerous to themselves or others, in which case they will be sent home immediately. 5. You release the tennis camp and its staff, the Perth Tay Tennis Club and its Board of Directors, and the Town of Perth of and from all manner of actions, claim and demands of whatever nature which result from any loss, injury or expense sustained, arising out of or in any way connected with your child’s participation in the tennis camp. 6. In the event your child is injured, ill or in need of medical attention and you are unable to be contacted, you authorize the camp staff to seek medical attention on your behalf.
I accept the above terms
*
Check box to accept
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