Tennis REGISTRATION FORM

Participant’s Name _______________________________________________________ Phone ___________________

Street ____________________________________ City __________________________ Zip ______________________

Email _____________________________________________________________________ Birthdate _______________

membership choices (please check one)
half season: single   couple   family
Full season: single   couple   family

additional family members registering:
1. Name ___________________________________________________ Birthdate ____________________

2. Name ___________________________________________________ Birthdate ____________________

3. Name ___________________________________________________ Birthdate ____________________

4. Name ___________________________________________________ Birthdate ____________________

seasonal court time
1st choice: day ___________________________ time: _____________   2nd choice: day ___________________________ time: _____________

Please list other player names in your group:

Name ____________________________________ Name ____________________________________ Name ____________________________________

special rates (please check one)

off-peak    high school play pass    junior team monthly membership   

PAYMENT POLICIES

Payment is due before court time can be reserved.
PAYMENT METHODS: Payment can be made with cash, check, money order or credit card (MasterCard and Visa only).
ALL CASH PAYMENTS MUST BE MADE TO THE FRONT DESK ATTENDANT AND RECEIPT ISSUED. Non-cash payments can be put in envelopes and put in the payment box located at the front desk. Make all checks payable to CHAMPIONS FOR LIFE. There is a $20.00 fee for returned checks.

RELEASE

By their very nature, sports or activities such as gymnastics, martial arts, soccer, tennis or any other activity that involves motion carry a risk of physical injury. No matter how careful the athlete and instructor are, the risk cannot be eliminated. Potential injuries range from minor injuries, such as bruises to more serious injuries such as broken bones, dislocations and muscle pulls, to catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck or head. Participation in these activities carries with it a reasonable assumption of risk. By signing this release, I hereby for myself, my children adopted or otherwise, my heirs and executors, waive and release any and all rights against Champions For Life, their agents or representatives; for any injury or damages that may be suffered by me, my children adopted or otherwise, in connection with my association or entry in gymnastics, martial arts, soccer, tennis or other activities sponsored by Champions For Life.

In case of emergency, contact _____________________________________________

Phone _____________________________________________

Relationship _____________________________________________
.
Check here If there are any medical concerns instructors should be aware of and please note them on the back of this form.

Signature _____________________________________________ Date______________________

How did you hear of us? (Please check one)
Friend      Citizen      Radio      TV      Other ____________________________

FOR OFFICE USE ONLY
Attendance __________ Bookkeeping __________