FORM-APPL-NYKATA-KTS 15-16
circle where applicable
Application for 2015~’16 NYKATA Tennis School
NEW
At the USTA ‘Billie Jean King’ National Tennis Center
Thu.
By New York Korean-American Tennis Association
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Name
Fri.
RENEW
-- FRIDAY Program – Group lesson
Friday nights 8:30~10 pm. Starts 10/2/2015, Ends 05/20/2016 <No class 11/13, 11/27, 12/25, 01/01>
$1,080/year or $400/semester + Registration Fee, Free trial available!!
6 classes by evaluation (from Novice to Advanced Intermediate), Group Lesson
First Name
한글
영문
Korean
English
Last Name
Parent’s contact information, If applicant is under 18,
Cell Phone
Contact
phone
E-mail
E-mail
Address
·······················
Emergency Contact
Relationship:
mm/dd/yy
1st
Family
Discount*2
$1,080
2nd
+ $980*2
3rd
Name:
Tuition
Birth Date
Name
Phone:
+ $880*2
By
Semester
①$400
②$400
③$400
①$400
②$400
③$400
①$400
②$400
③$400
Cash or Check #
①Registration Fee
① Registration fee is only for NEW applicant. Non Refundable
② According to NYKATA’s financial support policy,
‘Family Discount’ is applicable only when you pay tuition at
once (before or) on the first day of the program. 가족할인 혜
택은 등록시 일시불로 내는 경우에만 적용됩니다.
TOTAL
Paid
date
$30
$
cash
·········· paid $
check # ………. paid $
NOTICE
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Send this Application form and your Check to NYKATA / 47-31 Francis Lewis Blvd. / BAYSIDE, NY 11361
You may bring check or cash on the first day of school, but seats are NOT guaranteed.
Please, make check payable to: NYKATA. Sorry, we do NOT accept Credit Cards.
Any questions? Visit our website www.NYKATA.org or email to champs.nykata@gmail.com
We cooperate and follow the USTA NTC’s program rules and regulations.
Must-read.. Participant acknowledges the physical dangers and risks inherent in playing tennis and Participant freely
and knowingly assumes all such risks. Participant releases, discharges and holds harmless the NYKATA, the USTA NTC
and the City of New York from and against any and all claims resulting from Participant’s participation in the program or
any event related thereto, including claims such as negligent acts or omissions of NYKATA or USTA NTC.
_____________________________________Date:______________
Signature of Participant (or Legal Guardian if participant is under 18)
*1 Number of Weeks subjects to change without notice.
*2 Family Special Discount: Thanks to NYKATA’s support, if you pay full family member’s tuition at once before starting, you can get 10% discount for
every additional family member + Only $30 registration fee regardless of numbers of family member.
Family discount is ONLY applied to SAME address family members. NO in-laws and friends. NO Family Discount for Thursday program.
THE NEW YORK KOREAN-AMERICAN TENNIS ASSOCIATION IS A NON PROFIT 501 (C) TAX- EXEMPT ORGANIZATION
47-31 Francis Lewis Blvd. BAYSIDE, NY 11361 / EMAIL: champs.nykata@gmail.com, WEB: www.nykata.org