GPT Tennis Thanksgiving Camp Registration

Admin Notes
GPT Tennis Camp

Thanksgiving Break Camp 2024
For Questions contact John Shults (770-655-3951 or john@otac.net)

- Please Complete a Seperate Application for Each Child -
Child's Name*

First NameLast Name
Gender*
Age:*
Birth Date*

MonthDayYear
Date
UTR (Universal Tennis Rating)
Camps/Academies
Parent's Name*

First NameLast Name
Parent Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Chronic Illness/Allergies
Medication/Other Health Information
Emergency Contact*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Additional Information
Camp Weeks (select all that apply)*

November 25-27
Camp Group Level:
Camp Cost*
Pro-rated Cost Per Pro Shop (770-578-9901):
Camp Placement*
Refund Policy*
10% Multiple Week Discount (only one discount applies)

YesNo
* Please select your preferred payment method below. The business office will contact you to finalize payments.
Payment Type*
If applicable, please use the link below to submit your credit card payment once you have submitted your order! Be sure to add the $6 processing fee to the paymnet amount.

https://otacmemberdues.securepayments.cardpointe.com/pay
Lunch Menu:

Monday - Chicken Tenders, Fruit, Dessert

Tuesday - Hamburger, Fruit, Dessert

Wednesday - Pizza

* If there are special dietary needs please pack a lunch for your child. No substitutions. Please avoid packing items with nuts.
Account Charges
Camp Preventative Measures*
OTAC Hold Harmless Agreement*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent Notes
Should be Empty:

GPT Tennis Camp