+Student’s
Name:__________________________
It is understood that the student is in overall good
Physical health. In the event that there is a physical
condition that may limit or restrict participation in
certain activities, a physician’s note granting
permission to participate in such activities must be
presented prior to the first class session.
MEDICAL
AUTHORIZATION:
FOUR SEASONS
TENNIS CLUB
3010 Williams Drive
Merrifield, VA.
2012 SUMMER
TENNIS DAY CAMP
PROGRAMS
_______________________________________
Parent/Guardian Signature
Date
_______________________________________
Parent/Guardian Signature
Date
By signing this document, I
agree to hold the 4 Star Tennis Academy and the
Four Seasons Tennis Club harmless for injury or
loss that may occur as a result of my participation
in 4 Star activities.
_______________________________________
Student Signature
Date
_______________________________________
Parent/Guardian Signature
Date
Send Registration to: 8116 Arlington Blvd.
#151, Falls Church, VA 22042-1002
Office: (703) 573-7777
TENNIS ACADEMY
(703) 573-5105
In an emergency, when I/we cannot be contacted,
I/we hereby authorize the staff of the 4 Star Tennis
Academy to take my/our child to the emergency
room of the nearest hospital. I/we authorize that
hospital and its medical staff to provide treatment
deemed necessary for the well-being of my/our child.
RELEASE:
THE BOB PASS
4 STAR
AT THE FOUR SEASONS
TENNIS CLUB
The Four Seasons Tennis
Club is home to
The Bob Pass
4 Star Tennis Academy
The Mid-Atlantic’s Most
Successful Junior Tennis
Program
Call (703) 573-7777 for more information.
E-mail: 4startennisat4seasons.va@live.com
3010 WILLIAMS DRIVE
MERRIFIELD, VA. 22116
www.4startennis.com
The 4 Star Tennis Program is a carefully
designed and implemented approach to the
total tennis game. Our overall goal in the day
camp program is to teach tennis for a lifetime
of enjoyment and exercise. We use
sophisticated teaching techniques to analyze
and develop strokes. Proper practice and
drilling techniques are clearly demonstrated
while basic and advanced strategy is taught by
lecture and on-court demonstration. Our small
student/instructor ratio guarantees individual
attention and evaluation.
Beginner – Intermediate
At the Beginner-Intermediate level the camp’s
goals are to teach boys and girls ages 7-13 the
basic tennis skills and strategies, as well as
develop an enthusiasm for the game. Emphasis
is placed on developing the confidence that
sport’s participation produces in low-pressure
situations.
Intermediate
This is an intensive tennis program for
Intermediate boys and girls, ages
10-15. The training is devoted to instructional
sessions on court, physical conditioning
designed to develop strength and reflexes,
extensive drilling to sharpen all strokes, and
competitive match play. This camp is designed
for aspiring tournament newcomers.
BOB PASS
Bob Pass is the founder and co-director of the
largest and most successful junior tennis program
in the Mid-Atlantic Region. In the past 30 years, he
has coached dozens of Mid-Atlantic junior and High
School Champions and a number of professional men
and women players who played at the U.S. Open,
French Open and Wimbledon. Bob is a graduate of
Brown University and George Washington Law
School. In November, 1999, he was inducted into the
Mid-Atlantic Tennis Association Hall of Fame.
SESSION DATES
AND TIMES
Camp classes are available in one-week
Sessions beginning June 18th and ending
August 31st. All camp classes meet
Monday through Friday, 9 AM to Noon.
2012
4 STAR TENNIS CAMP
REGISTRATION FORM
Name______________________________________________
Address____________________________________________
Week 1: June 18-22
Week 2: June 25-June 29
Week 3: July 2-6
Week 4: July 9-13
Week 5: July 16-20
Week 6: July 23-27
Week 7: July 30-Aug 3 Week 8: Aug 6-10
Week 9: Aug 13-17
Week 10: Aug 20-24
Week 11: Aug 27- Aug 31
City_______________________State________ Zip__________
FEES:
Cell:_______________________________________________
Birthdate____________________Age_________Sex_________
Parent’s Name________________________________________
Home Tel:___________________________________________
Office Tel:___________________________________________
EMail______________________________________________
Ability Level:
$295 per week,
$1,060 for 4 weeks
$1,530 for 6 weeks, $1,990 for 8 weeks
$2,250 for all 11 weeks
Beg.________ Adv. Beg________
Int._______
FACILITIES:
Four Seasons Tennis Club, in Merrifield,
VA, offers ten air-conditioned indoor hard
courts. Eight outdoor courts – four hard and
four clay - are also available. Water
fountains, lockers, showers and a full
pro-shop are available.
CAMP DIRECTOR:
Mehdi Garma : Mehdi has taught in the 4
Star Academy summer camp for the past seven years.
Prior to that Mehdi played college tennis at George
Mason University. Mehdi says, “Our day camp is a
fantastic opportunity for children who have an
interest in tennis, because, it gives them a chance to
get out there and really learn the sport in a fun and
beat environment.”
Adv. Int._________
Enroll me in weeks: (circle weeks)
1
11
2
3
4
5
6
7
8
9 10
All 11 Weeks____
Deposit & Payment:
A deposit of $100 per student must accompany each
registration. The balance is due June 1st (If
registration is made after June 1st, full payment must
accompany this registration form). If full payment is
not received when due, as described above, the
enrollment may be cancelled and a $40 service fee
will apply.