Club Team Tennis
1 week sessions starting Aug. 19th-Sep. 26th. Located at Quail Valley Swim & Racquet Club. 1336 Country Squire Drive Columbia SC 29212
Student Name
*
First Name
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Address
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Street Address
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Date of Birth
*
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Guardian Information
Guardian/Parent Name (contact in case of emergency)
*
First Name
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Guardian/Parent Email
*
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Guardian/Parent Phone Number
*
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*
Medical Conditions & Allergies
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Tennis & Fitness Programs
PARTICIPATION TERMS: As a participant in the Ds Tennis & Fitness Programs at Quail Valley, my child/myself agrees to abide by the rules and regulations established by the Club regarding the use of the facilities, rules of play, and etiquette. My minor child and I will hold Ds Tennis & Fitness and QVSR harmless from any and all liability while myself or my child is participating in the Tennis & Fitness Programs. PARENTAL CONSENT: I, the undersigned parent or guardian of the participant, do hereby grant authority to the staff of Ds Tennis & Fitness to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize Ds Tennis & Fitness and its assigns to utilize any and all videos, pictures, or other likenesses of participant or anyone assigned guardianship as they deem appropriate in its promotional materials.
Signature
*
By signing this you are agreeing to the participation terms.
Date
*
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Month
-
Day
Year
Date
Aug. 19th-Sep.26th
(Tue/Thu/Fri match days)
Tue Only
Thu Only
*
Choose 1 to make payment use Venmo Info below-other payment options text or email Dainyell (803-480-7890) or Dainyell.fox@gmail.com
12 Session (per person/class) $120 School Rate
6 Sessions (1 day per week) (per person)$60 School Rate
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