2023 Summer Camp Registration Form

Summer Camp 2023 Registration Form
ATTENTION:

All NEW clients are required to create a Court Reserve account and create their Payment Profile. If you are a returning client, you should already have a Court Reserve account, but must create a Payment Profile.

Placement is contingent upon being registered for Court Reserve and having a Payment Profile. You will NOT be placed unless this is completed.

Click Here to create a Court Reserve Account or Log In.
Child's Information
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Child's Grade Level for the 2023-2024 school year*
What is your child's t-shirt size?*
Special Needs/ Medical Concerns / Allergies
Contact Information
Parent/Guardian Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Information
Emergency Contact's Name*

First NameLast Name
Emergency Contact's Phone Number*

Area CodePhone Number
Camp Information
Which camp will your child attend?*

Discovery Camp (10 & Under)Tennis & Sports Camp (over 10)Performance Camp (Competitive Record Requirement)
Do you need transportation?*

YesNo
What level is your child?*

Beginner (New Client)Intermediate (New Client)Advanced (New Client)RED 3RED 2RED 1ORANGE 2ORANGE 1GREENJDJD2Performance
Camp weeks that are missing below are SOLD OUT. If you wish to be added to the waiting list, for SOLD OUT weeks. Please indicate this in the designated section below. Full-week applicants have priority over per diem in placement.
What week(s) of camp will your child be attending?*

Week 1 (July 5- July 7)Week 2 (July 10- July 14)Week 3 (July 17- July 21)Week 4 (July 24- July 28)Week 5 (July 31- August 4)Week 6 (August 7- August 11)Week 7 (August 14 - August 18)Week 8 (August 21 - August 25)Week 9 (August 28- September 1)
Do you wish to be added to the waiting list?

YesNo
Please indicate which SOLD OUT weeks that you wish to be added to the waiting list for.
If choosing per diem, please indicate which date(s) and half or full day.
Full week campers will have priority when making placements.
Deposit
A non-refundable deposit,$100 per camp week, will be taken via PayPal.

For example, if you are registering a child for 5 weeks of camp, you will make a $500 deposit.

PLEASE ADVISE- If you are registering for multiple weeks, you MUST use the dropdown menu below to select the # of camp weeks you are registering for, so the correct deposit amount is charged.

Full payment for each camp week will be taken at the start of each camp week using the payment details entered when you create a Payment Profile for your Court Reserve Account.

Also, placement is contingent upon being registered for Court Reserve and having a Payment Profile. You will NOT be placed unless this is completed.
My Products*
prevnext( X )
Non Refundable Deposit (Indicate # of camp weeks)$100.00

# of weeks

Total $0.00
Terms & Conditions/Waiver of Liability
PARENT OR LEGAL GUARDIAN ACKNOWLEDGEMENT (IF UNDER THE AGE OF 18)

I represent and warrant that I am the parent or legal guardian of the above applicant, the individual who signed the foregoing Release (“Minor”) and that I have received, read, and understood the foregoing Release. I fully consent to and voluntarily authorize the Minor to execute said Release (or, if applicable, have voluntarily executed said Release on Minor’s behalf). I acknowledge and agree that all representations, consents, agreements, grants, waivers, authorizations, indemnifications and releases herein shall be regarded as made by me on behalf of the Minor and shall be binding on me and the Minor.

Furthermore, in consideration of Releasees possibly including me and/or Minor in the Event, I hereby agree to be bound by and to perform all of the terms and conditions of the foregoing Release (including, without limitation, the provisions regarding release of all claims), as such terms and conditions may relate to my participation and/or the participation of the Minor in the Event, if any.
Signature of Parent/Legal Guardian*

Clear
Name of Signature*

First NameLast Name
Name of Minor*

First NameLast Name
Relationship to Minor:*
Where did you hear about our Summer Camps?*

Email MarketingWeb Search (Google, Yahoo, Bing, etc)Yelp!Queens Parent Magazine/NYMetroparents.comSocial Media (Instagram, Facebook)In person, at facilityReferred by a friendCunningham School's ProgramCurrent or previous client
Should be Empty:

Summer Camp 2023 Registration Form

Child's Information

Contact Information

Emergency Contact Information

Camp Information

Deposit

Terms & Conditions/Waiver of Liability