TENNIS PROGRAM REGISTRATION FORM
ATHENS-CLARKE COUNTY LEISURE SERVICES DEPARTMENT
MANAGED BY: TENNIS FOR LIFE, INC.

PLEASE RETURN TO:
Bishop Park Tennis Program
705 Sunset Dr.
Athens, GA 30606
Attn: TENNIS PROGRAM

 Office Use Only:
Check #_________ Cash __________
Amount Enclosed: $______________
Activity #_____________
Please make checks payable to: "Bishop Park Tennis Program"                       Call (706) 613-3592

STUDENTS NAME ________________________________ REFERRED BY ___________________
NAME OF PARENTS __________________________________ E-MAIL _____________________
ADDRESS ________________________________________________________________________
CITY _________________________________________ ZIP ________________________________
PHONE (Home)________________ CELL ________________WORK ________________
DATE OF BIRTH___________ AGE _______ SEX ______ GRADE_____ SCHOOL______________
This address is located (check one) __________ Clarke County _________ Outside Clarke County

SESSION:      WINTER    SPRING      SUMMER     FALL


ADULT: CHILDREN:
USA STEP 1 Day _______ Time _______ L'IL STARS Mon or Sat (circle one) Mon and Wed
USA STEP 2 Day _______ Time _______ SHINING STARS  Mon or Sat (circle one) Mon and Wed
USA STEP 3 Day_______  Time ________ FUTURE STARS (9-15 yrs)    Mon or Sat (circle one) Mon and Wed
MENS NIGHT     SENIORS
STAR 4      TENNIS ACADEMY (9-12 yrs) (13-17 yrs)
Medical Information-Conditions/Allergies__________________Current Medications______________

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 wich would cover my child in the event of injury in any activity sponsored by Athens-Clarke County Leisure Services Department is my responsibility. I agree to indemnify, protect and hold harmless A-CC, 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 conjuction 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 and immediate credit for the full amount; (2) Receive a refund, minus a 25% adminstration 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 Bishop Park, please call (706) 613-3592 one hour before your scheduled class time. If your class is cancelled, the message on the machine will indicate the cancellation. All cancelled classes will be re-scheduled.
PARENT/GUARDIAN SIGNATURE___________________________ DATE ________________