SUMMER TENNIS CAMP

REGISTRATION FORM 2016 

  

NAME _________________________________  AGE ____________________

 

PARENT’S NAMES ________________________________________________

 

HOME TEL # ___________________________CELL # __________________

 

CLUB MEMBER # _______                                     $200 Lunch included

                                                                                    $175 Provide your own lunch

 

 GUEST – Must accompany a member                  $225 Lunch included

                                                                                    $200 Provide your own lunch

 

 

Take $25 off for every sibling enrolled after the first child.

 

 

GENERAL RELEASE OF LIABILITY:

We hereby release for and on behalf of ourselves, and our minor child, Brentwood Swim and Tennis, all owners and employees of the above establishments, from any and all damages and/or personal injury that may occur in and from any connection with a Brentwood Swim and Tennis Club sponsored event.

We the undersigned have read this release and understand all its terms and hereby executor it voluntarily with all knowledge and understanding of its significance.

 

MEDICAL RELEASE:

We hereby also consent to emergency or hospital services that may be rendered by an accredited hospital, or by an appointed physician or physicians, in the event such need arises in the opinion of a duly licensed physician.

 

 

_____________________________________________________________________

Signature of Parent or Guardian

 

_____________________________________________________________________

Date

 

 

Please return this registration form to the Pro Shop.

Please make all checks to Brentwood Swim and Tennis Club and attach to this form.