PATA Junior Clinics Registration
When:
Sessions will be held September 27th, October 18th & 25th. All sessions will run from 9:30-11:30am.
Who:
Open to junior players ages 6-10. All instruction will be provided by coach Tessa Pehanick, a certified tennis instructor for juniors! Age appropriate red/orange/green balls will be used for instruction.
Where:
All clinic sessions will be held at Journey Middle School.
Your Name
*
First Name
Last Name
What is your relation to the junior player? (Parent/Guardian, etc.)
*
Email Address
*
example@example.com
Emergency Contact Number
*
Please enter a valid phone number.
Junior's Age
*
Junior Player Name
*
Which session(s) are you registering for?
September 27th
October 18th
October 25th
By agreeing below, I authorize and grant PATA to take my (or my child’s) photo regarding experiences with them, for potential use on Facebook, Twitter, Instagram, and other social media platforms. I allow PATA to edit, alter, copy, or distribute the photos for social media advertising and marketing.
*
I Agree
I Disagree
I/We hereby understand and acknowledge that the training, programs and events held by the Piedmont Area Tennis Association (PATA) may expose me to many inherent risks, including accidents, injury, illness (including but not limited to COVID-19), or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me. I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and PATA furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE PATA, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in the PATA training, programs and/or events. By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
*
I Agree
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select payment for each clinic attended
*
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Junior Registration September 27th
$
10.00
Junior Registration October 19th
$
10.00
Junior Registration October 25th
$
10.00
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