Summer Tennis 2008 Registration Form

Players Name: _________________________________  Age:___________   Birthdate:____/____/________

Parent Name:________________________________________

Home Phone: (     )______-_______      Cell Phone:  (    ) ______ - ____________

Address:__________________________________ City:_____________________ Zip:____________

Parent E-mail:______________________________________


SELECT A PROGRAM BELOW AND FILL IN THE TIME

 Thomas Jefferson

 Marine Hills

 Class #:  1 2 3 4 5 6 7 8 9 10

Time_____________
Make checks payable to Team Buchan Tennis and mail to
22346 6th Av. S., Des Moines, WA, 98198. 

Prices
1 family member = $100
2nd family member = $75
3rd/add members = $50
Lobsters = $75 (or $50 if this is a second family member)



Total Enclosed: $______________

HOLD HARMLESS CLAUSE: I assume all risks and hazards of this activity. In case of injury I waive all claims or legal action against all employees, supervisors, sponsors, owners, or volunteers connected with this activity. I realize that videotapes of instruction may be made during class and authorize the use of my son/daughter for this purpose.

Signature:__________________________________ Date:_____________________________
(Parent Signature if under 18)

Mail check and registration to Team Buchan Tennis at
22346 6th Av. S., Des Moines, WA, 98198.

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