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Burnham School Tennis. Session 1 (FULL) see waitlist below
Tennis2go  Bridgewater

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Email *
Name of Child (one child only, a separate form is needed for additional children)
*
Grade  *
Emergency contact name and number *
Parent/Guardian phone number and email *
Session 1
6 weeks 
9/15, 9/22, 9/29, 10/6, 10/13, 10/20
$75 per session (supplement paid by PTO)


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I understand that this class is first come first served. First come is designated  by completed form and payment received.  *
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Payment Method *
WAVER

In checking the box below I agree that Tennis2go employees (Jennifer Bundy and instructor.)  are in no way responsible for the safekeeping of  personal belongings while my child  attends class. It is further expressly agreed that all exercises shall be undertaken by my child is  my (our) sole risk and that Jennifer Bundy nor any coach teaching shall not be liable to me (us) for any claims, demands, injuries, damages, actions or causes of action, whatsoever, to my (our) person or property arising out of or connected with the use by me (us) of the services and facilities of Tennis 2go, its servants, agents or employees.  

Warranty of Fitness

I (we) warrant that the child I (we)  enrolled  is  in good physical condition, and that he/she has no  impairment or ailment preventing them  from engaging in active or passive exercise that will be harmful to their  health, safety, comfort or physical condition if  they  engage or participate.  


SICKNESS Release

In consideration of being allowed to participate in any way in any program, event, or activity sponsored or authorized by Jennifer Bundy, and/or any affiliated member, I the undersigned, acknowledge, appreciate, and agree that: I am aware there are risks to my child  of exposure to, directly or indirectly, arising out of, contributed to, by, or resulting from an outbreak of any and all communicable diseases, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof.

 I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless Jennifer Bundy and it's affiliated members, and their respective officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct any program, event, or activity (releasees), from any and all claims, demands, losses, and liability arising out of or related to any illness, injury, disability or death I may suffer, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it voluntarily and freely without inducement.


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Signature of Parent/Guardian 
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Please contact me at 203-512-1542 if you have any questions.

Below, you may leave me any information about your child that will help me teach .

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