Giammalva Camp Registration Form
Please fill out the form below to register your child
Contact Information
Guardian - Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player - Name
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First Name
Last Name
Date of Birth
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-
Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please provide a brief description of experience level:
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Please select the program you would like to register for:
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Academy/NextGen & Transition
12U Beginner/Intermediate
12U Advanced
Select the Camp you'd like to register for:
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Thanksgiving Camp (Nov 23-25, 27 & 28 Saturday is half day)
Winter Camp Week 1 (Dec 21-24 & 26 Thursday 24th is half day)
Winter Camp Week 2(Dec 28-31 & 1st Thursday 31st is half day)
What days would you like to register for?
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1 day a week
2 days a week
3 days a week
Full Week
How did you hear about Giammalva Elite Academy?
Google Search
Social Media
Friend/Family
Advertisement
Other
Please specify the exact days your child will be attending. Also, please include any special information/important details that you think we should know about your child.
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Terms and Condition
Please read and initial
1. Automated Charge / Pre-Authorized Payment Authorization I understand and agree that all program fees, camp fees, guest fees, and other charges incurred by my family will be automatically drafted from my checking account or charged to the credit/debit card on file. Please note credit cards are subject to a 3% processing fee.
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Initial Here
2. I authorize Giammalva Racquet Club to initiate pre-authorized electronic funds transfers or charge transactions from the account provided.
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Initial Here
3. I understand that my bank or credit card statement shall constitute my receipt for payment. In the event that a pre-authorized draft or charge is declined or not honored by the financial institution, I agree that I am responsible for payment of all outstanding balances by an alternative method of payment. This authorization shall remain in effect until revoked by me in writing with at least ten (10) days’ notice, and until such notice is received and processed by Giammalva Racquet Club.
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Initial Here
4. I agree that each debit shall have the same force and effect as if it were a check or charge personally signed by me, and that Giammalva Racquet Club shall be fully protected in honoring this authorization provided sufficient funds or credit are available.
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Initial Here
5. Refund & Cancellation Policy- Once registered and payment is made for any camp, program, or session, no refunds will be issued unless there is a valid medical reason or other extenuating circumstance, as determined and approved by the Program Director. Prepaid semester or camp fees are non-refundable if a participant does not attend, except in approved cases.
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Initial Here
6. Resignation Agreement- Applicant may resign from a monthly program by providing written notice at least ten (10) days prior to the next program month or session start date. The effective date of resignation shall be the date the written notice is received by the Club. All accrued fees and charges owed up to the effective date of resignation remain due and payable.
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Initial Here
7. Make-Up Policy- Classes missed due to illness, vacation, or other personal reasons will not be made up. In the case of an extended medical condition or emergency, the Applicant should contact the Program Director or Pro in charge to discuss possible accommodations.
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Initial Here
8. Payment Agreement- Applicant agrees to pay all charges when due. The Club reserves the right to assess a late fee of $25.00 on past-due accounts.
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Initial Here
9. Disclaimer and Hold Harmless Agreement- I voluntarily assume full responsibility for my participation and/or my child’s participation in all Club activities and the use of all facilities, equipment, services, and privileges. I release and hold harmless Giammalva Racquet Club, its owners, directors, officers, employees, agents, and representatives from any and all claims, liabilities, injuries, damages, or losses arising from participation, including those resulting from negligence, to the fullest extent permitted by law.
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Initial Here
10. Photo & Media Release- I grant permission to Giammalva Racquet Club to photograph and/or video me and/or my child and to use such images for promotional materials, publications, websites, and social media without compensation.
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Initial Here
11. Medical Authorization- I authorize Giammalva Racquet Club staff to obtain emergency medical treatment for my child from a licensed medical provider as deemed necessary for the child’s health and safety.
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Initial Here
12.Transportation Waiver- I acknowledge that Giammalva Racquet Club and/or Elite Academy may, at its discretion, provide transportation for participants. I understand that participation is voluntary and assume all risks associated with travel. I release and hold harmless Giammalva Racquet Club & Elite Academy, its owners, directors, employees, and volunteers from any claims arising from transportation services.
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Initial Here
Signature
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Submit Registration
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