2024-25 Ladies 6-Week Singles Clinic Registration

Player First Name *

Player Last Name *

Date of Birth (xx/xx/xxxx) *

Address *

City *

State *

Zip *

Phone (xxx-xxx-xxxx) *

Phone Carrier *

Email *

Emergency Contact:

Phone (xxx-xxx-xxxx)

Please select *

Member

Non-Member

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.

Select Session (You may select more than one): *

SESSION 1 Sept 9-Oct 14

SESSION 2 Oct 21-Nov 25

SESSION 3 Dec 2-Jan 13

Program Fees (select one): *

Member Rate for each 6-week session $432

Non-Member Rate for each 6-week session $504

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

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.

Card Number

Expiration Date (xx/xxxx)

Code

Signature *

clear

Today's Date * +