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.
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
Please return this registration form to the Pro Shop.
Please make all checks to Brentwood Swim and Tennis Club and attach to this form.