HACKENSACK YOUTH TENNIS REGISTRATION
Hackensack Recreation Department
116 Holt Street Hackensack, New Jersey 07601
201-646-8042
Age: 8 through 17 Male and Female
Program Cost: $85.00 once a week / $170.00 twice a week
Private Lessons: 5 - Half Hour lessons $75.00 / 10 – Half Hour lesson $150.00
Deadline to register: April 20, 2015
Where to register: Hackensack Recreation Center, 116 Holt Street, Hackensack
When to register: Monday through Friday 9am – 6pm
Cash, Checks and Money Orders Only. Makes checks payable to: City of Hackensack
Steve Jackson Tennis specializes in, and will be teaching, the proper techniques for groundstrokes (forehand &
backhand), serve, volleys, overheads, footwork and having fun. Match play strategy for advance students.
Program will include: light running, stretching, jumping rope, foot drills, balance, hand/eye coordination drills and
learning basic groundstrokes (forehand & backhand).
Groundstroke drills and hitting for advanced students.
Program Schedule: May 5–June 20, 2015. Tuesday/Thursday 6:00-7:00
Saturday 10:00-11:00 at Johnson Park.
Private Lessons: Lessons can be scheduled Monday through Sunday with
Steve Jackson at a time convenient for you both.
Please Print Clearly
Students Name ____________________________________Date of Birth ___________Age_____
Address_________________________________Apt#____City_____________________________
School__________________________________________________________Grade___________
Parent/ Guardian First & Last Name_________________________________________________
Phone____________________Cell____________________Email__________________________
Emergency Contact Name________________________________ Phone #’s_________________
Please List Any Medical Restrictions or Allergies ______________________________________
Students Tennis Experience________ Years played ____Do You Have a Tennis Racket ______
Other Sports Played _______________________________________________________________
Parent/Guardian Tennis Experience (USTA, Club etc…)_______________Years Played______
Parent Signature_______________________________________Date_______________________
$85 once a week (
Date:_________
) $170 twice a week (
Receipt # ___________
) 5-Half Hour lessons $75 (
Cash __________
) 10–Half Hour lesson $150.00 (
Check # ______________
)
Processed by:_________