Open Court @ Brandywine
Event Timing: Please see below for Dates
Event Address: 2930 Brandywine Road, DeLand FL, 32720
Contact us at (386) 898-2682 or
Child's Name (If you're registering multiple children please fill out one form per child.)
Phone Number (including area code)
Are there any special medications, allergies, or information about your child that we should know? If none, please write n/a.
Which sessions would you like to sign up for? (Sessions are from 1:00pm-3:30pm)
June 3rd - June 7th
June 10th - June 14th
June 17th - June 21st
June 24th - June 28th
July 8th - July 12th
July 15th - July 19th
July 22nd - July 26th
July 29th - August 2nd
Emergency Contact (Please leave a first & last name and phone number)
Payment must be submitted by Sunday, May 26th to reserve your spot. If payment has not been received, then the spot will be reopened. Payment can be made using cash, check, or credit at Brandywine Tennis & Fitness Club. (2930 Brandywine Rd. DeLand, FL, 32720) Payments can also be made over the phone.
By checking the below box you agree and accept the terms of the following indemity- You acknowledge that tennis and other activities offered or conducted by Brandywine Tennis (BW) or under its auspices are inherently physical and dangerous activities and that you risk injury in participating in such activities. By submitting a Brandywine Tennis Application Form, you declare that you are medically able to participate in physical activity, and acknowledge that you understand and accept the inherent risks of undertaking these physical activities. You release and indemnify Brandywine Tennis and its coaches to the full extent permitted by law in respect of any claim, loss, liability or expense arising as a result of or in connection with your participation in any Brandywine Tennis activity. While all efforts are made to ensure your safety, Brandywine Tennis and its coaches takes no responsibility for injury, damage or loss of property. Your Image - By using the Venue, you consent to your image being taken, retained and reproduced. You acknowledge that all photographs, electronic images, sound recordings, video footage and other records obtained by Brandywine (Records) shall remain the property of Brandywine. You consent to use of the Records by BW in any way, including but not limited to printed publications and visual media including but not limited to DVD’s, the Internet and other electronic formats, without any compensation or notice to you.
I acknowledge and agree to the above indemnity.
A copy of your responses will be emailed to the address you provided.
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