TENNIS PROGRAM REGISTRATION FORM
OCONEE COUNTY PARKS & RECREATION DEPARTMENT
MANAGED BY: TENNIS FOR LIFE, INC.
Please make checks payable to: "Tennis For Life"
Tennis For Life – Oconee County office MAILING ADDRESS:
706-769-2954 OCPRD
Herman C. Michael Park 3500A Hog Mt. Rd.
1051 Elder Road, Bishop GA 30621 Watkinsville, GA 30677
Addy Miller Attn: TENNIS PROGRAM
addy@tennisforlife.net
STUDENTS NAME ______________________________________________________________AGE____________
DATE OF BIRTH______________________SEX ______ GRADE_____ SCHOOL___________________________
EMAIL_________________________________________________________________________________________
ADDRESS ______________________________________________________________________________________
CITY _________________________ ZIP __________ NAME OF PARENTS_________________________________
PHONE (Home)___________________ WORK (Father)____________________(Mother) ______________________
Medical-Conditions/Allergies _____________________________Current Medications __________________________
FALL 2011
CHILDREN: ¨ Session 1: Aug 22-Oct 3 ¨ Session 2: Oct 11-Nov 18
*****Below fees are per each 6-week session *****
¨ 5 – 6 L’IL STARS, 3:15-4:00p.m. ,
¨ Tues $60 ¨ Thurs $60 ¨ Tues and Thurs $115
¨ 7 – 10 SHINING STARS, Beginner - 4:00-5:00p.m. (7+8 yrs.); 5:00-6:00p.m. (9+10 yrs.)
¨ Tues $60 ¨ Thurs $60 ¨ Tues and Thurs $115 (7+8 yrs)
¨ Tues $60 ¨ Thurs $60 ¨ Tues and Thurs $115 (9+10 yrs)
¨ 9 – 15 FUTURE STARS, Beginner (11-15 yrs.) and Advanced Beginner (9-10 yrs.)
¨ Mon $60 ¨ Wed $60 ¨ Mon and Wed $115 3:30-4:30 pm (9+10 yrs)
¨ Mon $60 ¨ Wed $60 ¨ Mon and Wed $115 4:30-5:30 pm (11-15 yrs)
¨ 8 - 10 Future Stars Elite (Must be recommended/evaluated by Tennis Pro)
¨ 11 - 15 Pre-Academy (Must be recommended/evaluated by Tennis Pro)
¨ Adult USA (Please check box if registering for USA class on back of this form)
CONTINUED ON BACK
ADULT: 19 yrs. & Older - $75.00/class/session
¨ Session 1: Aug 14-Sept 25 ¨ Session 2: Oct 3-Nov 14
¨ USA STEP 1 ¨ Sun 5:00-6:15 p.m. ¨ Mon 6:00-7:15 p.m. (Beginner) ¨ Mon 6:00-7:15 p.m.
¨ USA STEP 2 ¨ Sun 6:15-7:30 p.m. ¨ Sun 5:00-6:15 p.m.
(Adv. Beginner) ¨ Wed 6:00-7:15 p.m. ¨ Mon 6:00-7:15 p.m.
¨ Thurs 8:30-9:45 a.m. ¨ Wed 6:00-7:15 p.m.
¨ Thurs 8:30-9:45 a.m.
¨ USA STEP 3 ¨ Wed 6:00-7:15 p.m.
(Intermediate) ¨ Sun 6:15-7:30 p.m.
Policies and Disclaimer:
All registrations will be accepted on a space available basis and must be paid in full at the time of registration to reserve a place in an activity. I, the undersigned, hereby understand that insurance which would cover my child in the event of injury in any activity sponsored by Oconee County Parks and Recreation Department is my responsibility. I agree to indemnify, protect and hold harmless OCPRD and Tennis for Life, Inc. its officials, employees, agents and servants from any and all claims, demands, actions, suits and damages, loss and
expenses of whatever kind or nature to any person or to any property arising out of my conjunction with this activity. I give my permission for the person in charge of this activity to take my child to the doctor or hospital in the event of an injury.
Refunds: No refunds or credits will be granted after a session begins. If you request a refund at least 5 business days before the session begins, you will have two options: (1) Receive an immediate credit for the full amount; (2) Receive a refund, minus a 25% administration fee. A credit will be issued in the event an activity cannot be completed due to a documented medical problem.
Rain policy: If it is raining, or you think it might be wet at Herman C. Michael Park, please call 769-2954 one hour before your scheduled class time. If your class is canceled, the message on the machine will indicate the cancellation. All canceled classes will be re-scheduled.
PARENT/GUARDIAN SIGNATURE____________________________________DATE _________________