LOSCAB SUMMER Registration Form

SC Tennis Academy @Los Cab

Summer Program Registration

Only (1)One Player Per Form

All sales are final. No refunds.

Summer credits CANNOT roll over to Fall.
Player Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Referred By*
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Cell Number*
Parent/Guardian E-mail*
example@example.com
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is the athlete prescribed an inhaler? If yes, please explain any instructions.*
Parent/Guardian Responsibilities

I/We will inform Southern California Tennis Academy (SCTA) about any serious medical condition or disability of the learner, either existing or arising.

I/We will inform SCTA immediately of changes of address or telephone number of parents/guardians.

I/We agree that we and our child/children will follow all SCTA policies and regulations.

I/We agree to settle all financial obligations as they come due.
LOS CAB PROGRAM OPTIONS

After School + Camps
Choose your program*

LOS CAB Summer Sessions

LOS CAB Summer Sessions

LOS CAB Summer Sessions - Daily Drop-inValid for LOS CAB Summer Session Daily Drop-In | Good for one Daily Drop-in

$70.00

LOS CAB Summer Sessions - 30 pack LOS CAB Summer Sessions - 30 pack. Valid for 30 sessions, 3-6 pm, between June 1 and August 31, 2023.

$1,500.00

LOS CAB Summer Sessions - 20 pack LOS CAB Summer Sessions - 20 pack. Valid for 20 sessions, 3-6 pm, between June 1 and August 31, 2023.

$1,100.00

LOS CAB Summer Sessions - 10 packLOS CAB Summer Sessions - 10 pack. Valid for 10 sessions, 3-6 pm, between June 1 and August 31, 2023.

$600.00

Total

$0.00

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

There are no refunds, and all sales are final. Summer Session credits CANNOT rollover to School Year.
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SC Tennis Academy @Los Cab