Tennis Camp Registration Form

Registration
If you have any questions, please contact Zach Tobias at zachtobias@thrivecamps.org or (301)910-5328.
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
Primary Email*
*Important camp information and updates will be sent to the email address on file.
Parent/Guardian Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child Information
Child's Name*

First NameLast Name
Child's Gender*
Child's Date of Birth*

MonthDayYear
Child's Age*
If you are registering more than one child, please fill out the fields below for each child.
Child's Name

First NameLast Name
Child's Gender
Child's Date of Birth

MonthDayYear
Child's Age
Child's Name

First NameLast Name
Child's Gender
Child's Date of Birth

MonthDayYear
Child's Age
Child's Name

First NameLast Name
Child's Gender
Child's Date of Birth

MonthDayYear
Child's Age
Any Known Allergies?*

YesNo
If yes, please list below:
Any Medications?*

YesNo
If yes, please list below:
Other Known Conditions*
*If none, please type N/A
Emergency Contact

The person(s) listed below are authorized to pick up my child from Camp Nessie
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship*
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship
Should be Empty:

Registration