Peninsula Tennis Academy- Registration and Release of Liability Form
Updated May 22, 2019
Email address *
Parent/ Registering Adult Name *
Your answer
Player(s) Names and Birthdates *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Address *
Your answer
Best Contact *
Choose Class(es)- Choose All That Apply (Coach is Head Coach Isaiah, USPTA Certified Teaching Pro, Unless Otherwise Noted) *
Required
Student Release: List the names and phone numbers of all parents, relatives and other caregivers with permission to pick up your child(ren). If there is a child custody situation where a parent is not allowed to pick up the child(ren) from class, you MUST provide documentation from the court. Your child(ren) will not be released to a person whose name is not listed on the student release form below. This is for the safety and protection of your child. *
Your answer
Child(ren) Over the Age of 8 Years old May Leave After Class Without an Adult in Sight (Children Under the Age of 8 Years Old May Not Leave Without an Adult in Sight) *
Previous Tennis Experience *
Your answer
What are Your Tennis Goals for You or Your Child(ren)- Check All That Apply *
Required
How Did You Hear About Us? *
Required
$20 Registration Fee Per Player *
Required
Good Sportsmanship Policy *
Required
Rainouts and Make-up Policy *
Required
Payment Policy *
Required
Concussion Policy *
Required
Liability Waiver *
Required
First Aid Waiver *
Required
Photo Release *
Required
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