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JOHN JAY SUMMER CAMP 2018
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
*
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Year
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2049
Sibling Birth Date
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Month
Jan
Feb
Mar
Apr
May
Jun
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Aug
Sep
Oct
Nov
Dec
Day
01
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Year
1999
2000
2001
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2005
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2036
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2039
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2041
2042
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2048
2049
Please choose one:
Beginner
Advanced Beginner
Low Intermediate
Intermediate
Please choose one: Sibling
Beginner
Advanced Beginner
Low Intermediate
Intermediate
Parent's Name
First Name
Last Name
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
E-Mail Address
Cell Phone
Emergency Contact
E. Contact Cell Phone
E. Contact Phone Home
Please choice Half/Full day option;
9:00 - 12:00PM
1:00 - 4:00PM
Full Day
Full Day w/ Aftercare 4pm-6pm
Please choice Half/Full day option; SIBLING
9:00 - 12:00PM
1:00 - 4:00PM
Full Day
Full Day w/ Aftercare (9AM-6PM)
Pricing Based On Number of Weeks : HALF DAY
1 week : $400 / wk
2 weeks & Up : $380 / wk
4 weeks & Up : $355 / wk
6 weeks & Up : $345 / wk
Pricing Based On Number of Weeks : HALF DAY - SIBLING
1 week : $400 / wk
2 weeks & Up : $380 / wk
4 weeks & Up : $355 / wk
6 weeks & Up : $345 / wk
Pricing Based On Number of Weeks : FULL DAY
1 week : $700 / wk
1 week :$900/ wk (aftercare 4pm-6pm)
2 weeks & Up : $660 / wk
2 weeks & Up : $860/ wk (aftercare 4pm-6pm)
4 weeks & Up : $630 / wk
4 weeks & Up : $830 / wk (aftercare 4pm-6pm)
6 weeks & Up : $620 / wk
6 weeks & Up : $820/wk (aftercare 4pm-6pm)
Pricing Based On Number of Weeks : FULL DAY - SIBLING
1 week : $700 / wk
1 week :$900/ wk (aftercare 4pm-6pm)
2 weeks & Up : $660 / wk
2 weeks & Up : $860/ wk (aftercare 4pm-6pm)
4 weeks & Up : $630 / wk
4 weeks & Up : $830 / wk (aftercare 4pm-6pm)
6 weeks & Up : $620 / wk
6 weeks & Up : $820/wk (aftercare 4pm-6pm)
Number of Weeks
*
0
1
2
3
4
5
6
7
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9
10
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13
14
Number of Weeks - SIBLING (required)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
PLEASE SELECT YOUR WEEKS:
June 11 - June 15 (Sold Out)
June 18 - June 22 (Sold Out - Waitlist)
June 25 - June 29 (Sold Out - Waitlist)
July 2 - July 6 (July 4th Off)
July 9 - July 13
July 16 - July 20
PLEASE SELECT YOUR SIBLING WEEKS:
June 11 - June 15 (Sold Out)
June 18 - June 22 (Sold Out - Waitlist)
June 25 - June 29 (Sold Out - Waitlist)
July 2 - July 6 (July 4th Off)
July 9 - July 13
July 16 - July 20
PLEASE SELECT YOUR WEEKS:
July 23 - July 27
July 30 - August 3
August 6 - August 10 (Sold Out : Afternoon Only)
August 13 - August 19
August 20 - August 24 (Sold Out: Afternoon Only)
August 27 - August 31
PLEASE SELECT YOUR SIBLING WEEKS:
July 23 - July 27
July 30 - August 3
August 6 - August 10 (Sold Out : Afternoon Only)
August 13 - August 19
August 20 - August 24 (Sold Out : Afternoon Only)
August 27 - August 31
LUNCH (Optional) $40 / wk (SELECT NUMBER OF WEEKS)
0
1
2
3
4
5
6
7
8
LUNCH (Optional) $40 / wk - SIBLING
0
1
2
3
4
5
6
7
8
ADDITIONAL COMMENTS / MEDICAL INFORMATION / ALLERGIES
ADDITIONAL SIBLING COMMENTS / MEDICAL INFORMATION / ALLERGIES
Amount Due
$
Discout Code
Credit Card
*
Multiplier
$
Billing Name
First Name
Last Name
Billing Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
How did you hear about us?
Partnering School
Mommy Poppins
New York Family
Google/Yahoo - Search
Word of mouth
Returning Students
Billing Email
PAYMENT TERMS, LIABILITY WAIVER AND ASSUMPTION OF RISK AND RELEASE, REFUND POLICY.
By signing 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.
REFUND POLICY: Summer Camp tuition is refundable only in the following scale, and are based on the current Summer Camp start date for the respective enrollment: 60 days before the start date: 90% of tuition refunded; 30 days 80% of tuition refunded; Less than 30 days, credit to future session.
Signature (required)
Yes, I agree
By Clicking the Box Above You Consent to the Payment Terms, Liability Waver, and Assumption of Risk and Release
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