Board of Recreation Summer Youth Tennis Clinic- Summer 2015
Registration Form:
Child’s Name: Please Print Clearly
Parents’ name: Mother
Father
Home #:
Parent’s cell phone numbers: Mother
email :
Father
Home address:
Address verified HAWTHORNE RESIDENCY IS MANDATORY
Emergency Contact other than parent:
Emergency Contact Phone #
School attended: Grade level of child in Sept. 2015
Allergies/medical conditions:
Equipment:
Participant must provide their own tennis racket; wear comfortable clothing and tennis sneakers or an equivalent. It is also recommended to bring a water bottle.
Please Initial:_________
Personal Items:
The Board of Recreation cannot be held responsible for any personal belongings that are brought to the Tennis Clinic (cell phone, iPods, gameboys, sports equipment,
Yugioh/Pokemon Cards, jewelry, etc.)
Please Initial: __________
$40.00 per session: Please make check payable to BORO OF HAWTHORNE
Schedule: July27 th -Aug. 14 th Monday-Thursday (one hour session)
Payment method: Check #_________________Cash receipt#______________________
Date __________________________