2015 Summer Youth Trial Lesson Registration
Welcome Parents! Please use this form to register your child for a trial lesson with our experienced coaching staff. These trial lessons are for new prospective students under 16 years of age who are not sure yet if they will like table tennis and/or our youth program offerings.

These 2-hour Group Lessons will be offered at a cost of only $5 per student. We recommend encouraging your child to get a friend to join the same session so they can learn together. No prior table tennis experience is required but the class will adapt to your child's level if they do already know how to play.

Please direct questions about the program to Head Coach Yang Yu (coachyuyang@gmail.com)
Student Name *
Last, First (nickname)
Student Birthdate *
Students entering the youth program must be under 16 years of age. Otherwise, some other program may be suggested.
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Parent Name *
i.e. "Mary Lee"
Parent Email Address *
Email is important for confirmation. You will be added to the Austin Table Tennis mailing list which has an easy unsubscribe feature.
Parent Phone Number *
Course Selection *
Please select trial lesson preference. Coach Yang will reach out to you to schedule a trial lesson. Please mention in the comments if your child has friends that also want to join the same lesson so they can be scheduled together.
How did you hear about this program? *
If you heard directly from some other source please let us know. If you end up registering for summer camp, you and your referrer will each receive $10 bonus credits after the summer camp season.
Liability Waiver
Waiver, Release, Indemnification and Hold Harmless Agreement:

I understand that, due to the large group format of the ATTA programs/activities, the ATTA may not provide one-on-one care for any child except on an intermittent basis. Such instances include: injuries, immediate disciplinary issues, and certain personal care needs customarily provided to other children.

I understand that the ATTA (Austin Table Tennis Association) programs/activities have inherent risks and participation in ATTA programs I hereby assume all risks and hazards incident to my participation in all ATTA activities, due to the negligence of the ATTA or otherwise while in, about, or upon the premises of the ATTA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the ATTA, including volunteer service. I further waive, release, absolve, indemnify and agree to hold harmless the ATTA, the organizers, volunteers, supervisors, officers, directors, participants, coaches, referees, as well as, persons or parents transporting participants to and from activities from any claims or injury sustained during my use of the ATTA property or participation in programs.

PLEASE SIGN TO INDICATE THAT YOU HAVE RECEIVED, READ AND AGREE TO THE ABOVE WAIVER, RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT
Waiver Confirmation *
Please enter the name of the person filling out this form. By writing your name here you confirm that you agree with the above terms. While table tennis is a relatively safe sport and we care about all of our students, we can only promise to do our best in the unlikely event of an emergency.
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Anything else we should know? We'd love to hear your feedback!
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