Tuesday Night Tennis (Fall 2014) The Clinton Parks and Recreation Department has partnered with Eric Meyer and New England Team Tennis (NETT) to offer the highest quality tennis programs in the area. This spring we are offering everything from Toddler Tennis to Cardio Tennis. These programs cater to a wide ranges of ages and abilities! Visit our website, www.clintonrec.com for a description of each program DATES: Tuesdays September 30th, October 7th, 14th, 21st, 28th, and November 4th Please indicate your program choice by checking the box next to the listing. Program Name Youth Tennis k-3rd Age Group graders Junior Tennis 4th-8th graders Adult Beginner/Intermediate Ages 15+ Time and Cost 4:00pm-5:00pm $96.00 per session 5:00pm-6:00pm $96.00 per session 6:00pm-7:30pm $135 per session To Register: Please complete this registration form and mail it in with a payment. Checks may be made payable to the “Town of Clinton” and sent to Parks & Recreation, 560 High Street, Clinton, MA 01510. --------------------------------------------------------------------------------------------------------------------------------------------------------------Fall 2014 Tennis Programs NAME _________________________________________________________ DOB _________ Grade (as of 9/14)____ (Please print) ADDRESS_________________________________________________________ Town ___________________________ Email________________________________________________________ Home Phone __________________________ Parent Contact (if under 18____________________________ (_____)________________ First Last Work Phone (_____)_______________ Cell Phone Contact Person other than parent________________________________________ PHONE________________________ I give Clinton Parks & Recreation permission to use pictures taken during the program on their website and in promotional materials. INJURY WAIVER: In consideration of participation of the minor player named above in this recreation program, the undersigned parent or guardian hereby consents to his/her participation and releases and holds harmless the Towns of Clinton and the Clinton School District and their officers, agents, and employees from any liability for, and waives all claims, suits, or causes for action that the undersigned, as parent or guardian, and said minor, either before or after he/she may reach his/her age of majority, may have now or hereafter based on or arising from, any injury suffered or incurred by the minor player as a result of, or in conjunction with, his/her participation in said recreation program. Such waiver and release to be in effect without regard to whether such injury is the result of or caused by the fault of the town of Clinton or the Clinton School District or any of their officers, agents, or employees. This instrument is intended to take effect as a sealed instrument. I further certify that my child is medically fit to participate in the above recreation program. SIGNATURE __________________ (Parent/Guardian) DATE_____________ Saturday Tennis Session (Fall 2014) Clinton Parks and Recreation Department is excited to partner with Eric Meyer and New England Team Tennis, Inc to offer a top-notch summer tennis camp in Clinton. Whether you’re just learning the game or a seasoned tournament player, this is the program for you. Dates: Saturday October 4th, 11th, 18th, 25th, November 1st, 8th Select the class you would like to participate in below by checking the box next to the program: Program Name Age Group Toddler Tennis 4-6 year olds Youth Tennis 1st -3rd graders Junior Tennis 4th-8th graders Adult Beginners Ages 15+ Adult Intermediate Ages 15+ Adult Cardio Tennis Ages 15+ Time and Cost 9:15am -10:00am $72.00 per session 10:00am-11:00am $96.00 per session 11:00am-12:00pm $96.00 per session 9:00am-10:00am $96.00 per session 10:00am-11:30am $135.00 per session 8:00am-9:00am $96.00 per session To Register: Please complete this registration form and mail it in with a payment. Checks may be made payable to the “Town of Clinton” and sent to Parks & Recreation, 560 High Street, Clinton, MA 01510. --------------------------------------------------------------------------------------------------------------------------------------------------------------Saturday Fall 2014 Tennis NAME _________________________________________________________Grade (as of 9/14) _____ DOB _________ (Please print) ADDRESS_________________________________________________________ Town ___________________________ Email Address____________________________________________ Home Phone __________________________ Parents/Guardian Contact (if under 18): _______________________________ Name (_____)______________ Contact phone number Contact Person other than parent________________________________________ PHONE________________________ I give Clinton Parks & Recreation permission to use pictures taken during the program on their website and in promotional materials. INJURY WAIVER: In consideration of participation of the minor player named above in this recreation program, the undersigned parent or guardian hereby consents to his/her participation and releases and holds harmless the Towns of Clinton and the Clinton School District and their officers, agents, and employees from any liability for, and waives all claims, suits, or causes for action that the undersigned, as parent or guardian, and said minor, either before or after he/she may reach his/her age of majority, may have now or hereafter based on or arising from, any injury suffered or incurred by the minor player as a result of, or in conjunction with, his/her participation in said recreation program. Such waiver and release to be in effect without regard to whether such injury is the result of or caused by the fault of the town of Clinton or the Clinton School District or any of their officers, agents, or employees. This instrument is intended to take effect as a sealed instrument. I further certify that my child is medically fit to participate in the above recreation program. SIGNATURE __________________ (Parent/Guardian) DATE