Atlantic Beach Tennis Center
Junior Tennis Camp
SUMMER 2008 Application
Please print then complete all items
Camper's Name _______________________________________Age ______D/O/B_________Sex _______
Parent's Name ___________________________________E-mail__________________________________
Winter Address ___________________________________ City _______________State_____Zip________
Summer Address ___________________________________City _______________State_____Zip ________
Home Phone __________________________ Summer Phone ____________________________
Mother's Cell ______________________ Father's Cell ______________________ Work _________________
Emergency Contact _____________________ Relationship to Child ______________ Ph_______________
Credit Card Number (MC, VISA) _____________________________ Exp. Date _______________
REGISTRATION INSTRUCTIONS
Enrollment is limited and spaces will be reserved on a first-served basis. Spaces will be reserved once Atlantic Beach Tennis Center receives a completed application and payment in full. Campers attending the camp for a daily basis must pay in cash or via credit card day of camp. Per the above policy, Atlantic Beach Tennis Center reserves the right to charge the credit card supplied above for any balance unpaid. Any request for a refund of camp tuition must be received prior days enrolled. No refunds will be given after the camp days.
DISCLAIMER
As parent or legal guardian of the above camper, I hereby give permission for my child to attend in the Atlantic Beach Tennis Camp and agree to comply with all program regulations including the furnishing of Atlantic Beach Tennis Center with appropriate medical exams and records of immunization when requested. In case of accident or injury and an emergency contact person cannot be reached, I grant Atlantic Beach Tennis Center permission to obtain medical attention for my child if necessary, for which I will be financially responsible. I hereby release Atlantic Beach Tennis Center and the staff and management of Atlantic Beach Tennis camps from any and all responsibility for bodily injury, property damage or theft of personal property that may occur while involved in this program on or off the Atlantic Beach Tennis Center site. This release applies individually and jointly with other campers, friends, or family members. I further understand that Atlantic Beach Tennis Center retains the rights to any photographs or video taken at the facility to be used for publicity or advertising.
Parent's Signature ________________________________ Date ____________________
SUMMER 2008 CAMP SESSIONS
Please check the week(s) your child will be attending
Week 1: June 30 -July 4
Week 2: July 7-July 11 Week
Week 3: July 14-July 18-22
Week 4: July 21-July 25
Week 5: July 28-August 1
Week 6: August 4-August 8
Week 7: July 11-August 15
Week 8: August 18-August
Week 9: August 25-August 29
Please return completed applications to:
ATLANTICBEACH TENNIS CENTER
60 The Plaza Atlantic Beach, NY 11509
PHONE (516) 239-3388 www.atlanticbeachtennis.com