Four Seasons DRILLS For SKILLS 6-Week Class Registration
With Rob Rios

Player First Name *

Player Last Name *

Date of Birth (xx/xx/xxxx) *

Address *

City *

State *

Zip *

Phone (xxx-xxx-xxxx) *

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.

Select Level/Day: *

3.5 Level - Tuesdays, 1p-2:30p, Feb 18-Mar 25

3.0 Level - Wednesdays, 12p-1:30p, Feb 19-Mar 26

Program Fee for 6-week program (select one): *

3.5 Level - 6-week session $420

3.0 Level - 6-week session $420

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 *

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Four Seasons DRILLS For SKILLS 6-Week Class Registration With Rob Rios

Four Seasons DRILLS For SKILLS 6-Week Class Registration
With Rob Rios