Elite Tennis is proud to offer Summer Tennis programs co-sponsored with Roseland Recreation Department! 2014 SUMMER These clinics are designed to introduce young children to the game of tennis with simple activities and games. These activities produce both fun and early skill development. Instructors are expected to supervise all youth participants from the time of drop off until they are picked up promptly at the end of the class. Each participant must bring their own racquet and obey all Tennis Court Rules and Regulations. Open to: Where: When: West Essex Area Residents Harrison Complex Tennis Courts Tuesday &Thursday: 3 sessions Session 1: 6/24, 26, 7/01, 03, 08, (Rain Date 7/10) Session 2: 7/15, 17, 22, 24, 29, (Rain Date 7/31) Session 3: 8/05, 07, 12, 14, 19, (Rain Date 8/21) Time: Junior Clinic Ages 5-8 9:00-9:45 am Junior Clinic Ages 9-12 9:45-10:30 am $99.00 per participant per session (5 classes) Fee: Please make checks payable to: Elite Tennis Academy. 42 Fairfield Place, West Caldwell, NJ 07006. For further information please call: 973-575-1000 NO REFUNDS AFTER PROGRAM STARTS! Roseland Summer 2014 Youth Tennis Lessons Name _____________________ Address _____________________________ Home #: ___________ Emergency# ___________ DOB _____ AGE _____Sex_____ Email Address__________________________ Session 1______Session 2_______Session 3_______ Indicate Class Choice: Ages 5-8 (9-9:45) ______ Ages 9-12 (9:45-10:30)____ Child Photo / Video / Release Form I grant permission for Elite Tennis and the Borough of Roseland, Roseland, New Jersey to use photograph(s)/moving image(s) of my child participating in Borough programs and/or activities for promotional purposes. I understand that photographs or recordings may be utilized by the Borough at its discretion for materials including, but not limited to: newsletters, brochures, television, video tape and flyers. Photographs sent to the local newspaper may have names noted. There will be no valuable consideration paid as a result of this activity. Yes ___ No ___ Please be advised that all parents of children who participate in any Elite Tennis and Roseland Recreation program are expected to conduct themselves in a courteous mid respectful manner. Obviously, parents should not use profanity, threats, or insulting language. Parents should also not engage in any controversial conversations with the supervisor, instructor, or teacher of any program. Any parent having any concern regarding an instructor should refrain from speaking with said person. Rather, the parent should contact the Elite Tennis and Roseland Recreation Department. Elite Tennis and the Recreation Director will take any necessary appropriate action. Elite Tennis and the Borough of Roseland recommend the disclosure of relevant health information. Unless Elite is notified IN WRITING, staff will be forwarded all information on the registration form, including health conditions. Parents/Guardian signature allowing participation and waiving claims that may result from injury due to tennis activity. Parents/Adult’s signature allowing participation and waiving claims that may result from an injury due to a tennis activity. In addition, the participant will abide by the Program Policy and all other Rules and Regulations implemented. Parent/Guardian Signature: _______________________ Date: _________ Payment Recd: ___