Midtown Tennis Club Junior Summer Camp 2022 Enrollment Form                                                                  
Available Dates:  June 20-August 25, 2022
Midtown Tennis Club
341 8th Avenue at 27th Street
212-989-8572
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Email *
Player Last Name *
Player First Name *
Player Age *
Parent Name *
Parent Phone (xxx-xxx-xxxx) *
Parent Email *
Street Address *
Apartment Number
City *
State *
Zip Code *
Emergency Contact Name *
Emergency Contact Phone (xxx-xxx-xxxx) *
RED BALL PROGRAM:  Ages 4-6/7, 3-4 pm, classes offered Monday-Thursday.  Select the weeks to attend.  All Red Ball Classes are $280 per week.
ORANGE BALL PROGRAM: Ages 7-10, 1-3 pm, classes offered Monday-Thursday.  First hour instruction, second hour games.   Select the weeks to attend.  All Orange Ball Programs are $560 per week.
GREEN BALL PROGRAM: Ages 9-12 depending on level, 1-3 pm, classes offered Monday-Thursday.  First hour instruction, second hour games and match play.  Select the weeks to attend.  All Green Ball Programs are $560 per week.
YELLOW BALL PROGRAM:  Ages 12 and up depending on level, 4-6 pm, classes offered Monday-Thursday.  First hour instruction, second hour match play.  Select the weeks to attend.  All Yellow Ball Programs are $560 per week.
Name on Credit Card *
Credit Card Number (xxxx-xxxx-xxxx-xxxx) *
Credit Card Expiration Date *
Credit Card Security Code *
Credit Card Billing Zip Code *
Liability Waiver and Assumption of Risk Release
By checking the box below, I agree that I am the parent or legal guardian of the player named in this registration form and will abide by all rules and regulations set forth by Midtown Tennis Club.  I acknowledge that there are inherent dangers associated with playing tennis and Midtown Tennis Club, its executives, officers, agents and employees, shall not be liable for any personal injuries, property damage or other losses sustained while on the property of Midtown Tennis Club, due to negligence or otherwise.  I further declare that the player named is physically sound and not suffering from any illness, disease or impairment which would prevent his/her participation in the program.  In the case of accident or injury to the named player, and the parent or emergency contact is not available, I grant permission to Midtown Tennis Club to obtain medical attention, if necessary, for which I will be financially responsible.  I understand and agree that Midtown Tennis Club retains the rights to any photographs and/or videos taken of me and/or the named player at Midtown Tennis Club to be used for Midtown Tennis Club advertising, social media, marketing and publicity.  There are no refunds, transfers, credits available for this enrollment.


I Agree to the Liability Waiver and Assumption of Risk Release Above.  Please sign below. *
Terms and Conditions
1.  All players must wear smooth soled sneakers, no running or treaded.
2.  Player coordinator reserves the right to move players to the appropriate court based on level.
3.  There will be no make ups, credits or refunds for missed classes.
4.  Players that come without the racket will be charged $10.
5.  All players may be dropped off at the front desk (top of the stairs) no more than 5-10 minutes prior to the start of class and picked up at the front desk promptly at the end of class.




I Agree to the Terms and Conditions Above.  Please sign below. *
A copy of your responses will be emailed to the address you provided.
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