TennisWorks (Fall 2024)

TennisWorks!

Registration Form
Enrollment is open to children ages 4-18 who qualify for Free & Reduced Lunch.

One application must be submitted per participant.

Enrollment will not be considered complete until ALL information is accurately submitted along with any applicable accompanying documentation.

For detailed program information, please visit www.corta.org

To register, either: Complete this form and submit to CORTA or submit via email to edna@corta.org

Fall 2024

Cooper Creek Park (CLOSED)
Registration Full

Frank Chester Park
Days: Wednesdays
Dates: August 21 - December 11, 2024
Time: 4:30 pm - 6:00 pm
FREE
Player Name

First NameLast Name
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Age
Grade
School Name
Qualify for Free & Reduced Lunch?
T Shirt Size
Age Group?
Which location?

Frank Chester - Wednesdays
Learning Disabilities?
If yes, please describe:
Medical/Physical Restrictions?
If yes, please describe:
Dietary Restrictions/Food Allergies?
If yes, please describe:
Parent/Guardian Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
If you accept the terms of the above COVID-19 Wavier, please enter your name below. If player is not 18, please enter Parent or Guardian name

First NameLast Name
Signature

Clear
Should be Empty:

TennisWorks!