Player's Name
*
First Name
Last Name
Parent's Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School
*
Grade
*
Please Select
K
1st
2nd
3rd
4rd
5th
6th
7th
8th
9th
10th
11th
12th
How did you hear about us?
Word of Mouth
Web
Social Media
Ad
If Referral, who can we thank?
Age Level
*
Ages 7 & under
Ages 8-12
Ages 12+
Have you joined Tri-City Tennis Academy before?
*
Yes
No
Class Frequency per week
*
Please Select
1 class/week
2 classes/week
3 classes/week
Flex Pass Option
*
Please Select
10 Clinic Flex Pass
18 Clinic Flex Pass
36 Clinic Flex Pass
Liability Waiver, Assumption of Risk and Release and other terms - By signing below, I agree that I am the parent or legal guardian of the named program participant and that we will abide by all rules and regulations which now exist or which may be hereafter adopted and amended by Tri-City. I further agree to adhere to the terms of the payment plan if I have chosen one above and that if my account is not paid as required Tri-City will charge my credit card for the full amount due plays a late fee of ($25). I acknowledge and agree that there are certain inherent dangers in participation and Tri-City Fitness is not liable for any injuries, property damage, or other loss sustained. In case of an accident or injury, and if the emergency contact cannot be reached, Tri-City is granted permission to obtain medical attention, if necessary, of which I will be financially responsible for. I accept that enrollment in the Tri-City Tennis Academy is for the session length chosen above and that no refunds will be given for withdrawals or absences once the session begins. I also understand that membership is a requirement for participation in this program. Tri-City reserves the right to cancel this contract at any time, under its sole discretion, and its only responsibility will be to refund any amounts previously paid on a pro-rata basis. Tri-City does not guarantee any makeup considerations for classes missed by the named participant, and make-up authorization can only be obtained by contacting Juniors@tricitytennis.com.
*
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