2024-25 Four Seasons Little Shots and Mom Registration (4S#2)

Player First Name *

Player Last Name *

DOB (xx/xx/xxxx) *

Age *

Parent First Name *

Parent Last Name *

Mom Full Name (if taking class):

Address *

City *

State *

Zip *

Phone (xxx-xxx-xxxx) *

Phone Carrier *

Email *

Allergies or medical conditions? *

No

Yes

If Yes, please detail:

Select Program: *

Little Shots Tennis

Little Shots for Mom

Weekly Class: *

Mondays, 2:30 - 3:30p

Wednesdays, 2:00p - 3:00p

CHECK MONDAY SESSION

CHECK WEDNESDAY SESSION

Session 2 - Oct 16-Nov 6

Session 3 - Nov 13 - Dec 4

Session 4 - Dec 11 - Jan 8 (3weeks, prorated)

Session 5 - Jan 15 - Feb 5

Session 6 - Feb 12 - Mar 5

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.

PROGRAM FEES PER SESSION: *

Little Shots - 4 weeks - $160

Little Shots for Mom - 4 weeks - $140

PAYMENT *

I am paying by check/cash (checks payable to Four Seasons Racquet Club)

I am paying by credit card

I am paying by credit card on file

Card Number

Expiration Date (xx/xxxx)

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.

Signature *

clear

INTELLIGENT TENNIS DEVELOPMENT - THE FOUR SEASONS WAY