John Jay April Break Day Camp

JOHN JAY SPRING CAMP 2018

APRIL 2 - APRIL 6

First Name, Last Name*

First Name

Last Name

Sibling First Name, Last Name

First Name

Last Name

Sibling

Click here if you would like to enroll a sibling.

Birth Date*

Sibling Birth Date

Please choose one:

Beginner Advanced Beginner Low Intermediate Intermediate

Please choose one: Sibling

Beginner Advanced Beginner Low Intermediate Intermediate

Parent's Name

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Last Name

Address

Address Line 1

Address Line 2

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Emergency Contact

E. Contact Cell Phone

E. Contact Phone Home

Please Choose Half/Full Day

MORNING HALF 9:00AM - 12:00PM AFTERNOON HALF 12:00PM - 4:00PM FULL DAY 9:00AM - 4:00PM

Please Choose Half/Full Day SIBLING

MORNING HALF 9:00AM - 12:00PM AFTERNOON HALF 12:00PM - 4:00PM FULL DAY 9:00AM - 4:00PM

Please Choose Camp Days

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Please Choose Camp Days (SIBLING)

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Camp Days/Pricing

Half Day : $85 Full Day : $160

Camp Days/Pricing SIBLING

Half Day : $85 Full Day : $160

Number of Camp Days

Number of Camp Days SIBLING

ADDITIONAL COMMENTS / MEDICAL INFORMATION / ALLERGIES

ADDITIONAL SIBLING COMMENTS / MEDICAL INFORMATION / ALLERGIES

Amount Due $

Discount Code:

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PAYMENT TERMS, LIABILITY WAIVER AND ASSUMPTION OF RISK AND RELEASE

By clicking the box below I agree that I am either the named participant, or the parent or legal guardian of the named participant, and that we will abide by all rules and regulations which now exist or which may be hereafter adopted or amended by Tennis Innovators. I further acknowledge and agree that there are certain inherent dangers in playing tennis and that Tennis Innovators shall not be liable for any personal injuries, property damage, or other loss sustained by me or the named participant in, on or about the premises, or arising out of the use or intended use of any facilities, equipment or other property of Tennis Innovator. If I enroll, or enroll my child(ren), in programs and am asked to furnish Tennis Innovators with appropriate medical exams, I agree to furnish such exams and records. In addition, in case of accident or injury to me or my child(ren) and if an emergency contact person cannot be reached, I grant Tennis Innovators permission to obtain medical attention if necessary, for which I will be financially responsible. Tennis Innovators reserves the right to close court or facility for repair or alterations. Tennis Innovators reserves the right to cancel this contract at any time, at its sole discretion, and management's sole liability shall be to refund any amounts previously paid on a pro-rate basis. Tennis Innovators retains the rights to any photographs or video taken at the facility to be used for publicity or advertising.

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By Clicking the Box Above You Consent to the Payment Terms, Liability Waver, and Assumption of Risk and Release