2023 Tennis Summer Camp with Coach Zeze de Moura

2023 Summer Camp

With Coach Zeze de Moura
PLAYER INFORMATION:
Player's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Grade*
Beginner - Player has not taken tennis lessons beforeIntermediate - Player has taken tennis lessons beforeAdvance - Player can play pointsTournament Level - Player participates in tournaments - UTR 5 and UP
Name of School*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
MEDICAL INFORMATION
Physician's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Medical Concerns*
June 19 - 23June 26 - 30July 10 - 14July 17 - 21July 24 - 28July 31 - August 4August 7 - 11August 14 -18
1. SUBTOTAL
June 19 - 23June 26 - 30July 10 - 14July 17 - 21July 24 - 28July 31 - August 4August 7 - 11August 14 -18
2. SUBTOTAL
June 19 - 23June 26 - 30July 10 - 14July 17 - 21July 24 - 28July 31 - August 4August 7 - 11August 14 -18
3. SUBTOTAL
June 19 - 23June 26 - 30July 10 - 14July 17 - 21July 24 - 28July 31 - August 4August 7 - 11August 14 -18
4. SUBTOTAL
June 19 - 23June 26 - 30July 10 - 14July 17 - 21July 24 - 28July 31 - August 4August 7 - 11August 14 -18
5. SUBTOTAL
TOTAL DUE
Cancelation Policy: We do not provide make-ups or refunds for any days missed for any reason. *
Parent or Guardian Signature *
Date*
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2023 Summer Camp

PLAYER INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION