TENNIS PROGRAM REGISTRATION FORM
SOUTHEAST CLARKE TENNIS PROGRAM

MANAGED BY: TENNIS FOR LIFE, INC.


PLEASE RETURN TO:
Tennis for Life @ Bishop Park
705 Sunset Drive
Athens, GA 30606

Office Use Only:
Check #_________ Cash __________
Amount Enclosed: $______________
Activity #_____________
Please make checks payable to:       "TENNIS FOR LIFE "              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

CHECK ONE:
SESSION:      WINTER    SPRING      SUMMER     FALL
 
ADULT: CHILDREN:
USA STEP 1 DAY _____________ TIME __________
L'IL STARS (5-6 yrs)  
      Tues or Thurs  Tues AND Thurs
USA STEP 2 DAY _____________ TIME __________ SHINING STARS (7-10 yrs)
      Tues or Thurs   Tues AND Thurs
SUMMER CAMPS: FUTURE STARS (9-15 yrs)
       Tues or Thurs  Tues AND Thurs
STAR JUNIOR CAMP
Date of Camp___________________

      
   
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 is my responsibility. I agree to indemnify, protect and hold harmless ACC, 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 Southeast Clarke 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 ________________