Clinc Registration form

CLINIC REGISTRATION FORM

(please "print" form and mail to 360 Maloney Road; Elkton, MD 21921)

Name: _______________________________________ Mobile Phone: ____________________________

Mailing Address: ______________________________________ Work Phone: ______________________

City: ____________________________ State:_______ Zip:___________ 

E-Mail: _____________________________________________________________

Date of Birth (for Junior Clinics only):____________________Sex: _____. Level of Play: _______________

Clinic / Day / Time: _________________________________________________

Parent's Signature: _________________________________________

Fee Amt Enclosed $______________

(Parent Signature required for ALL JUNIORS)

 

Please make Checks payable to : Elkton Indoor Tennis

Credit Card #______________________________________

                                        Expiration Date: ________________ Security Code #________

                               Street #_________________ Zip Code _______________

                                        Cardholder's Name: ______________________________________

                                       Cardholder Signature: ____________________________________

I hereby, for myself, my child, my heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have against Better Tennis LLC & Elkton Indoor Tennis and it's representatives, successors, and assigns for any and all injuries suffered by myself or my child at the activities for which I am requesting. Parent or Legal Guardian must sign for any child 18 years and under, entering a program. I give permission for myself and/or my child to be photographed while participating or attending a Better Tennis LLC/Elkton Indoor Tennis activity. I understand that photos may be used in future publicity. I agree to all program policies.

 

POLICIES: Due to limited space & current COVID-19, clinic fees are NON-REFUNDABLE and NON-TRANSFERRABLE. ONLY Paid Registration will secure your space.