subject_line
2.0-2.5 Play With The Pro Registration
Player First Name
*
Player Last Name
*
Date of Birth (xx/xx/xxxx)
*
Address
*
City
*
State
*
Zip
*
Phone (xxx-xxx-xxxx)
*
Phone Carrier
*
Verizon
T-Mobile
AT&T
Mint Mobile
Tello
Visible
Consumer Cellular
Google Fi
Email
*
Emergency Contact:
Phone (xxx-xxx-xxxx)
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 DATE AND TIME
Held on Sundays, 10:30am - 12:00pm |
6-week program (select sessions below)
Fee: $420.00 per session
Select Session (You may select more than one):
*
SESSION 1 January 12 - February 16
SESSION 2 February 23 - March 30
SESSION 3 April 6 - May 18 (No class 5/11)
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
*
+