Summer Tennis 2011 Registration Form

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

Parent Name:________________________________________

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

Address:__________________________________ City:_____________________ Zip:____________

Parent E-mail:______________________________________


TEAM BUCHAN TENNIS
SELECT A PROGRAM BELOW


 July Team:  Circle the session  1 2 3 4 5 6 7 8 9
    August Team: Circle the session  1  2  3  4  5
 

 
Make checks payable to Team Buchan Tennis and mail to
31250 8th Av. SW, Federal Way, WA, 98023. 

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

Prices (August)
1 family member = $80
2nd family member = $60
3rd/add members = $40
Lobsters = $60 (or $40 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
31250 8th Av. SW, Federal Way, WA, 98023

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