Fall 2014 Tennis Registration

advertisement
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
Download