Valley Tennis at Rock Rec Sports Complex Membership Application

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Please complete the following information to sign up for summer tennis membership at the Rock Rec Sports Complex. You must submit your payment separately, either by sending cash or check payment to Birchwood Tennis & Fitness Club, 105 Edella Road, Clarks Summit, PA 18411, or by calling Birchwood at 570-586-4030 to pay with a credit card.

Email *

Membership Letter and Rates

First Name

Last Name

Date of Birth

YYYY

Mailing Address

City

State

Zip Code

Home Phone (leave blank if same as cell)

Cell Phone

Email Address

Membership Selection

Family ($325.)

Single Adult ($200.)

Student ($125.)

Clear selection

Select the services and opportunities you would be interested in pursuing. Choose all that apply.

Private Lessons

Group Clinics

League Play

Tournaments

Match Play (Singles)

Match Play (Doubles)

Other:

Please select your preferred mode of contact. Choose all that apply.

Phone

Text

A copy of your responses will be emailed to the address you provided.

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