Registration Form
Fill out the form carefully for registration
Player/Student Name
First Name
PREFERRED NICKNAME
Last Name
Gender
Please Select
Male
Female
N/A
Select Time
*
Please Select
10:30am - noon
6:30pm-8:00pm
AM class or PM class
EXPERIENCE LEVEL
*
Option: Beginner, Intermediate, Advanced
Courses (REQUIRED)
*
Please Select
Adult F.L.I.P.
Adult Academy
Adult Special Events
Junior Holiday Camp
Private Lessons
Other
Select One
Mobile Number
*
Mobile (provide adult phone numbers only!)
Your E-mail
Adult email info only please!
Address
Street Address (optional)
Street Address Line 2 (optional)
City (required)
State (required)
Postal / Zip Code (required)
Additional Comments
If a minor, please ensure that both student/parent contact information is submitted
Your signature confirms you are healthy enough to play tennis, which is sometimes a strenuous activity, and sometimes results in injury. You agree to indemnify all coaches, facilities, assigns hereinafter from liability, except due to gross negligence.
Should be Empty: