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Junior Summer Competitive Tennis Registration

    Player Name *
    DOB *
    Phone *
    Email *
    Address *
    Weeks Attending
    Weekly Price $225
    June 7-11June 14-18June 21-25June 28-July 2July 5-9July 12-16July 19-23July 26-30
    Payment Method
    Charge to Member Account.Contact me for payment information.
    Parent/Guardian Name(s) *
    Phone *
    Email *
    Parent/Guardian Name(s)
    Phone
    Email
    Emergency Contact 1*
    Phone *
    Emergency Contact 2
    Phone
    Allergies
    Medications to be administered in case of emergency
    Are you currently an RAC Member?
    yesno

    Due to COVID-19 Rollingwood is offering a membership to this group of junior tennis players at $55 per month. This status allows the players to use the courts at the specified program times, practice times, organized match play on Fridays or as instructed by their coach. The membership will be a month to month membership requiring 30 days written notice of cancellation emailed to [email protected]. The dues and monthly tennis program payment will be required through billing on the first business day of the month with the payment information provided above.

    Release, Waiver of Liability & Consent for Medical Treatment

    In the event of illness or injury arising out of my child’s participation in RAC Junior Tennis Program, I give consent and authorization for (1) the administration of emergency first aid care and treatment at the scene of an emergency by employee at RAC, or (2) the administration of any treatment deemed necessary by a licensed physician, and (3) the transfer to a hospital reasonably accessible.

    By signing and initialing below, I agree to the following terms and conditions

    all agreements must be checked

    Parent/Guardian Signature *
    Date *