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Teaches Serious Tennis to Serious Players |
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Professional Tennis Services @ South Riding, VA Registration Form (please print) (Must be completed and signed by EVERY participant, can be copied for multiple players) Child’s Name: _______________________________________ Date of Birth ______/________/________ Parent’s Name: ___________________________ Home Phone______________ Work Phone: ____________ Email (mandatory) _________________________ Street________________________ City__________________ Zip________ No spot held without registration and total fees paid. I fully understand that there are no refunds, except with a doctor’s note for medical emergency only. I release Professional Tennis Services, Town of South Riding its principals, officers and all personnel thereof, from all liability resulting from personal injury to my child and or myself. I release permission to use photos taken during class to help promote the program in press releases, flyers, newsletters and Email newsletters.* * no student will be identified by name in published photo without that student’s/parent’s permission. Signature: _____________________________________________ Date_________________________ Checks payable to James Grein - 46369 Hobbs Sq - Sterling, VA 20165 2010 Weekend Classes (please circle class all dates you plan to attend.) Additional classes can be added later providing there is space available Saturday Munchkins & Little Kids (4-6yr old) or Kids Clinic (7-10yr old) 12:00-12:45pm Dates: June 19 June 26 July 10 July 17 July 24 July 31 Aug 7 Aug 14 Aug 21 Sept 11 Sept 18 Sept 25 Oct 2 Oct 9 |
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