Nassau Tennis & Sports Center Registration Form 
Session 1 : Sept 3RD - Jan 27th 2024 
Session 2 : Feb 5th - May 29th 2024 
Sign in to Google to save your progress. Learn more
Childs Name  *
Age & Grade  *
Date Of Birth  *
MM
/
DD
/
YYYY
Current School 
Phone Number  *
Email 
Day - Please Choose Two Preferred days  *
Required
WEEKDAY Times - Please Choose Two Preferred Times  *
Required
WEEKEND Times Please Choose Two Preferred Times  *
Required
Emergency Contact Information (Name, Phone & Email Address)
 *
Please inform us if you have any special instructions regarding your child. (Ex: medical condition, allergy, etc.)
 *
WAIVER AND RELEASE FROM LIABILITY: The participant assumes full responsibility for the risk of injury while participating in all activities of the Nassau Tennis Center. The participant and their parent/guardian agree to hold harmless and indemnify Nassau Tennis Center from all liability, loss, cost, claim or damage resulting from participation in any activity of the Nassau Tennis Center and grants permission for the promotional use of photos and/or video of said participant(s) .
 *
Nassau Tennis & Sports Center 

73 De Sibio Pl
Inwood, NY 11096

PHONE: 516-239-8303

info@nassautenniscenter.com
https://www.nassautenniscenter.com
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nassau Tennis Center Inc..

Does this form look suspicious? Report

Google Forms