REGISTRATION FORM: 2019 McCarren Tennis Center Spring Outdoor Session, 9 Weeks, April 28 - June 29, 2019
Please fill out form completely. We will then contact you to confirm your child's registration, class schedule and payment. Thank you! McCarren Tennis Center. *
* As spaces are limited during the outdoor season, first preference will be given to currently enrolled players.
PARTICIPANT'S NAME *
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AGE & GRADE *
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DATE OF BIRTH *
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CURRENT SCHOOL & LOCATION *
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PARENT(S)/GUARDIAN(S) NAME *
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HOME ADDRESS *
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PHONE & EMAIL ADDRESS *
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PLEASE CHECK BOXES BELOW FOR YOUR APPROPRIATE JUNIOR PROGRAM & YOUR PREFERRED DAY(S) / TIME(S) .
TINY TOTS (AGES 3-4) $382.50 FOR 9 WEEKS
PEE WEE (AGES 5-6) $382.50 FOR 9 WEEKS
JUNIOR RECREATIONAL (AGE 7-9) $450 FOR 9 WEEKS
JUNIOR RECREATIONAL (AGE 10-12) $450 FOR 9 WEEKS
JUNIOR RECREATIONAL (AGE 13-17) $450 FOR 9 WEEKS
WE WILL CONTINUE TO OFFER AFTER-SCHOOL PICKUP FOR THE FOLLOWING SCHOOLS ON THE FOLLOWING DAYS. CHECK BOX IF YOU WOULD LIKE TO TAKE ADVANTAGE OF THIS OPTION.
We would appreciate any referrals.
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Please inform us if you have any special instructions regarding your child. (Ex: medical condition, allergy, etc.) *
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Emergency Contact Information (Name, Phone & Email Address) *
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Payment Information
Card must match home address. Please specify if home address is different from card billing address.
Credit/Debit Card # (Visa, MC, Amex, Disc.) *
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Exp. Date *
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CV2 # *
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WAIVER AND RELEASE FROM LIABILITY: The participant assumes full responsibility for the risk of injury while participating in all activities of the McCarren Tennis Center. The participant and their parent/guardian agree to hold harmless and indemnify NYC Parks and Recreation and McCarren Tennis Center from all liability, loss, cost, claim or damage resulting from participation in any activity of the McCarren Tennis Center and grants permission for the promotional use of photos and/or video of said participant(s) . *
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