JUNIOR CAMPS REGISTRATION

JUNIOR CAMPS • SUMMER 2025 REGISTRATION

Hamptons Community Tennis Academy • 72 Ponquogue Avenue, Hampton Bays, NY 11946
IF YOU ARE EXPERIENCING ERRORS WHILE SUBMITTING THIS FORM,

PLEASE TEXT/CALL (631) 856-1880 OR EMAIL JORDAN@HAMPTONSCTA.COM
Foundations Camp
Grades 1 – 8 » 930am - 12pm
Beginners to low-intermediates: Players will learn basic stroke production, footwork, tennis fundamentals, and more.

Aptitude Camp
Grades 7 – 12 » 930am - 12pm
Intermediate to advanced: Prep for high school teams and tournaments. Advanced stroke development, footwork, strategy, and matchplay.
Weeks:
1. Mon. July 7 – Fri. July 11
2. Mon. July 14 – Fri. July 18
3. Mon. July 21 – Fri. July 25
4. Mon. July 28 – Fri. August 1

5. Mon. August 4 - Fri. August 8

6. Mon. August 11 - Fri. August 15

7. Mon. August 18 - Fri. August 22

Local Rate*: $195/wk (1-3 wks); $180/wk (4+ wks)
Non-local Rate: $230/wk (1-3 wks); $215/wk (4+ wks)

*Local Rate is reserved for students of Suffolk County schools
Athlete Information
Select Camp*

Foundations (Grades 1 – 8)Aptitude (Grades 7 – 12)
Student of a Suffolk County School?*
School Name*
Select Number of Weeks*
1-3 Weeks: $195 per week; 4-7 Weeks: $180 per week
Select Number of Weeks*
1-3 Weeks: $230 per week; 4-7 Weeks: $215 per week
Calculation
Select Camp Dates (Must Reflect Selection Above)*

Week 1 (7/7 – 7/11)Week 2 (7/14 – 7/18)Week 3 (7/21 – 7/25)Week 4 (7/28 – 8/1)Week 5 (8/4 - 8/8)Week 6 (8/11 - 8/15)Week 7 (8/18 - 8/22)Choose later (selection must be made by 6/15 via email to jordan@hamptonscta.com)
Athlete Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Grade in School (Fall 2025)*
Tennis Skill Level*
Describe the athlete's experience with tennis so far - years played, enjoyment, competition, etc. If no experience, simply write 'None'.
T-Shirt Size*
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
Alt. Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about HCTA? If you were referred, please include the referrer’s name.
Discounted $ (calculation)
Final $ (calculation)
Emergency Information
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
The athlete may (select all that apply):*

Be picked up by the Parent/Guardian listed on the registration form.Be picked up by an individual other than the listed Parent/Guardian or Emergency Contact (individual must be at least 16 years old)Walk home (only if 12 years or older)
Name of Addtl. Authorized Pick-Up Individual*

First NameLast Name
Relationship*
Phone Number*
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.
Date*

MonthDayYear
Date
Signature*

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JUNIOR CAMPS • SUMMER 2025 REGISTRATION

Athlete Information