MATCHPOINT    

Teaches Serious Tennis to Serious Players                       

 

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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