Four Seasons Winter-Spring 2024 Registration Form

Participant's Full Name *

Date of Birth (for Juniors)

Parent/Guardian Name (if participant is under 18)

Address *

City *

State *

Zip *

Phone *

Email *

Emergency Contact *

Phone *

Waiver of Liability and Assumption of Risk: This waiver is a complete release of any responsibilities for injuries or damages sustained whether or not the member, guest or child was engaged in playing tennis at the time of the injury.

Waiver of Liability - Participant/Parent Signature: *

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Today's Date: * +

Program Selection (Select One): *

Day *

Time: *

Pro's Name (Adult Clinic Only):

Fee: *

Payment in full or monthly auto-pay by credit card must be confirmed by the first class. No part of the fee will be returned after the start of the program.

Payment (Select One):

I am paying in full by credit card or check. Please make checks payable to Four Seasons Racquet Club.

I authorize Four Seasons Racquet Club to AUTOMATICALLY CHARGE my credit card in the monthly amounts of "x amount"(fill in below) over "x months" (after an initial payment made at time of registration) for a total of "x amount" ($ clinic rate +5% processing fee).

Monthly Amount

Number of Months

Total Amount:

I authorize Four Seasons Racquet Club to AUTOMATICALLY CHARGE all additional transactions at time of transaction. Please note there is a $10 minimum for all credit card charges.

Card Number: *

Expiration: *

Security Code: *

Cardholder acknowledges receipt of goods and/or services in the amount of the total shown herein and agrees to perform the obligations set forth in the cardholder’s agreement with the issuer.

If your payment fails to clear bank processing, a $25 overdraft charge will be added to your account.

Signature: *

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*Please be advised that if you miss a class, or the club is forced to close, we cannot guarantee classes will be made up, however, we will make every effort to do so.

Little Shots	Future Stars Clinic	Competitive Training	Varsity Training
Adult Clinic	Intro to Tennis	Singles League