Ferndale Lower Kids' Tennis Club
Mondays after school, 3:15-4:15
Session 2 March 16 through April 27 skip April 6
All equipment will be provided, children may bring their own racquet if preferred.
Contact Coach Chip Fazio, USPTA Elite Pro, with any questions at all 313-670-3277 chipfazio@gmail.com
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Participant's first name *
Participant's last name *
Participant's Grade *
Session Registering For, Check All That Apply *
Is your child in latchkey?
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Who is allowed to pickup your child?
Birth year
Enter as 4-digit number
I hereby certify that the above named particpant has my approval to participate in activities conducted by First Serve LLC for this year and subsequent years, unless I give written notice to the contrary. I understand and agree that the First Serve LLC and its employees and agents assume no responsibility of liability for any accident or injury as a result of any aspect of participation in activities. I understand and acknowledge that participation in activities creates the potential for receiving an injury. With the knowledge of this potential risk of injury, I am giving the above named child permission to participate and accept full responsibility for this decision. I am the parent or guardian of the child. In the event of an injury, permission is hereby granted to First Serve LLC representatives to render, secure, and/or authorize necessary medical treatment without further authorization from me. I understand that medical expenses for injuries will not be paid by First Serve LLC. *
Parent or Guardian Name
Cell Phone *
Email Address *
City of Residence
Emergency Contact Name
Emergency Contact Relationship to Participant
Emergency Contact Phone
Payment method
Send Venmo payments to chipfazio@gmail.com, mail check to "First Serve", 348 Ridgemont, Grosse Pointe Farms, MI, 48236-3134. You may pay by cash, check or Venmo. You may pay on the 1st day of class.
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Thanks and contact us with any questions at all. chipfazio@gmail.com 313-670-3277
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