Participants Information

First Name *

Last Name *

Sex *

Age *

First Name

Last Name

Sex

Age

Please select session and time below:

Please Select Week(s) Below: *

Household / Adult Primary Contact

Guardian # 1 First Name *

Guardian #1 Last Name *

Guardian #2 First Name

Guardian #2 Last Name

Address 1 *

City *

State *

Zip *

Daytime Phone Number *

Emergency Phone Number: *

Email Address *

Are you members of the 300 Club? *

BY SIGNING BELOW, IT IS ACKNOWLEDGED THAT ALL PARTICIPANTS AND PARENTS MUST BE ADVISED THAT NEITHER THE 300 CLUB, ITS EMPLOYEES, OFFICERS, OR ANY REPRESENTATIVE THEREOF, ARE RESPONSIBLE IN ANY MANNER FOR ANY INJURY THAT RELATES TO OR MAY RESULT FROM ACTIVITY IN THIS PROGRAM OR ANY RELATED PROGRAM IN ANY WAY. ANY DAMAGE THAT MAY OCCUR AS A RESULT OF THE ACTION OF ANY PROGRAM PARTICIPANT, OR AFFILIATE PERSON, WILL BE THE RESPONSIBILITY OF THAT PERSON (OR PARENT/GUARDIAN). THE 300 CLUB AND ANY AND ALL OF ITS AFFILIATES ASSUME NO RESPONSIBILITY, IN ANY WAY, FOR THE ACTIONS THAT MAY INVOLVE THE ABOVE, OR ANYTHING THAT MAY BE DETRIMENTAL TO THE ABOVE, EITHER FINANCIAL OR OTHERWISE. Children of any age cannot be dropped off and left at The 300 Club without supervision for extended periods of time (more than a few minutes). When children are not under the direct supervision of the tennis professional or program director, parents or guardians must be on the premises and in direct supervision of their children. *

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