NYTA FALL 2026 REC APPLICATION

NYTA FALL 2026 REC APPLICATION
September 5, 2026 - October 16, 2026

No class Oct 10, 11, 12 (Thanksgiving)

Communications:

Contact: Tyler Prescott

All Inquiries to: registration@nyta.org

Web page: www.nyta.org

5 Weeks: Mon/Sat/Sun : $265

6 Weeks: Tues/ Wed/ Thurs/ Fri : $315

SELECT DAY(S) BELOW:
4 - 6 Years Old
7 - 9 Years Old
10 - 12 Years Old
13 + Years Old
Advanced Group
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal Code
City
School
Home phone
Format: (000) 000-0000.
Parents' daytime#
E mail address
example@example.com
Year of birth
Emergency Contact Name
Emergency Contact #
Allergies
NYTA refers to NYTA Jr. Program. Applications will only be accepted if there is available space. To participate in the NYTA Fall program an application form must be completed and signed by a parent or Guardian of each child. Applications must be accompanied by full payment. Please make cheque payable to NYTA. Payments can also be made by credit or debit card. Note: As in the past, any personal information collected has been kept private in accordance with the privacy act. All rates include all necessary taxes. Note: There are no make-up lessons unless we cancel the program.
By use of club facilities, I expressly agree that NYTA Winter Tennis Club and the NYTA Junior Academy, its officers, directors, employees, servants or agents shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall NYTA Winter Tennis Club or NYTA Junior Academy, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any
Thereby grant the NYTA Winter Tennis club and NYTA Junior Academy to use any photographs that include images of participants in any publications, displays, presentations or other related use in any format (print, electronic, website or other media) for the purpose of promoting the NYTA Winter Tennis Club or NYTA Junior Academy events, activities, and projects waive any copyright or other rights l may have to in use of images.
Parent/Guardian Signature
PAYMENT: SELECT YOUR DAY PROPERLY. REGISTARTION WILL BE ONLY CONFIRMED AFTER AN APPROVED PAYMENT. PLEASE DONT REFRESH THE PAGE OR CLOSE WINDOW AFTER SUBMITTING. GIVE FEW MINUTES TO PROCESS PAYMENT AND RECEIVE CONFIRMATION. AFTER SUBMISSION YOU WILL RECEIVE EMAIL AS WELL WHICH IS YOUR CONFIRMATION THAT YOU ARE ACCEPTED IN PROGRAM.

My Products

5 Weeks: Mon/Sat/Sun : $265 per day a week for 5 weeks

$265.00 CAD Quantity

6 Weeks: Tues/ Wed/ Thurs/ Fri : $315 per day a week for 6 weeks

$315.00 CAD Quantity

Total

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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