GPT Tennis Winter Break Camp 2026 Registration

Admin Notes
GPT Tennis Camp

Winter Break Camp 2026
For Questions contact John Shults (770-655-3951 or john@otac.net)

- Please Complete a Seperate Application for Each Child -
Child's Name*

First NameLast Name
Gender*
Age:*
Birth Date*

MonthDayYear
Date
Camps/Academies
Camp Group Level:
Parent's Name*

First NameLast Name
Parent Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Chronic Illness/Allergies
Medication/Other Health Information
Emergency Contact*

First NameLast Name
Relationship*
Phone Number*
Additional Information
Camp Weeks (select all that apply)
Camp Cost*
Pro-rated Cost Per Pro Shop (770-578-9901):
Camp Placement*
Refund Policy*
10% Multiple Week Discount (only one discount applies)

YesNo
Payment Type*
1. Enter Member Number if Charging to Member Account:

2. Complete if Using Credit Card Payment Method:

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please verify that you are human*
3. For Zelle Payment Method: Add Ginepri Performance Tennis Inc using the email julius@otac.net to your Zelle account to be able to send a payment. You can also scan the QR code below from within your banking or Zelle applications. Please be sure to add your child(ren)'s name(s) when making a payment.
Lunch Menu (subject to change):

Monday - Pizza, Tater Tots, Dessert
Tuesday - Mac & Cheese, Fruit, Dessert
Wednesday - Corndog, Tater Tots, Fruit, Dessert
Thursday - Hamburger, French Fries, Fruit, Dessert
Friday - Chicken Tenders, French Fries, Dessert

* If there are special dietary needs please pack a lunch for your child. No substitutions. Please avoid packing items with nuts.
Account Charges
Camp Preventative Measures*
OTAC Hold Harmless Agreement*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent Notes
Should be Empty:

GPT Tennis Camp