Clinc Registration form

CLINIC REGISTRATION FORM

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

Name: ____________________________________________

Phone: (H, W or C)___________________________

Address: __________________________________________

City: ____________________________ State:_______ Zip:___________ 

E-Mail: _____________________________________________________________

Date of Birth (for Junior Clinics only):____________________________ Sex: _____

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 VISA or MASTERCARD #______________________________________

                                        Expiration Date: ________________ Security Code #________

                               Street #_________________ Zip Code _______________

                                        Name on Card: ______________________________________

                                       Cardholder Signature: ________________________________

 

POLICIES: Due to limited space, clinic fees are NON-REFUNDABLE and NON-TRANSFERRABLE to other students and/or family members. Only PAID registration will secure your space.

MAKE-UPS: Please call 410-398-8282 if you are going to miss a class. Please note that we are only responsible for providing make-ups for classes WE CANCEL. With permission from your instructor, you may also make up ONE missed class per session, space permitting and this must be completed within the SAME session as the missed class. Any makeups must be pre-arranged with the instructor or the make-up is forfeited.