REGISTRATION FORM: 2019 McCarren Tennis Center Summer/Pre-Fall Outdoor Season, 12 Weeks, July 15 - Oct 13
7 CLASS MINIMUM (CAN BE USED ON MULTIPLE DAYS/WEEKS DURING THE 12 WEEK SESSION)
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.
PARTICIPANT'S NAME *
Your answer
AGE & GRADE *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
CURRENT SCHOOL & LOCATION *
Your answer
PARENT(S)/GUARDIAN(S) NAME *
Your answer
HOME ADDRESS *
Your answer
PHONE & EMAIL ADDRESS *
Your answer
PLEASE CHECK BOXES BELOW FOR YOUR APPROPRIATE JUNIOR PROGRAM & YOUR PREFERRED DAY(S) / TIME(S) .
If you have any questions feel free to call 347-873-9696 or email us at support@mccarren.tennis
TINY TOTS (AGES 3-4)/PEE WEE (AGES 5-6)
JUNIOR RECREATIONAL (AGE 7-9)
JUNIOR RECREATIONAL (AGE 10-12)
JUNIOR RECREATIONAL (AGE 13-17)
PRICING OPTIONS
7 CLASS MINIMUM (MAY BE USED ON MULTIPLE DAYS/WEEKS DURING THE 12 WEEK SESSION)
TINY TOTS (AGES 3-4)/PEE WEE (AGES 5-6) *
Required
RECREATIONAL (AGES 7-17) Classes organized by age and skill level
WE WILL CONTINUE TO OFFER SCHOOL PICKUP BEGINNING SEPTEMBER 9TH. CHECK BOX IF YOU WOULD LIKE TO TAKE ADVANTAGE OF THIS OPTION.
We would appreciate any referrals.
Your answer
Please inform us if you have any special instructions regarding your child. (Ex: medical condition, allergy, etc.) *
Your answer
Emergency Contact Information (Name, Phone & Email Address) *
Your answer
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.) *
Your answer
Exp. Date *
Your answer
CV2 # *
Your answer
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) . *
Submit
Never submit passwords through Google Forms.
This form was created inside of Love and Sudden Death. Report Abuse - Terms of Service