Manhattan Summer Tennis Camp | Application: Summer 2013

All fields denoted with an * are required for submission.

Name of the person filling out this form
Your Name*
Your Email*

Player Information
Mr.* Ms.*   First*   Last*
Age*     Date of Birth*     Day*   Month*   Year*

Current Level of Tennis* Beginner Advanced Beginner Intermediate Advanced

What area(s) of your child's tennis game would you and your child like to see improve? (i.e. Fundamentals, Conditioning, Match Play, Strategy)?

Contact Information

Home Address*
Zip Code*
Home Phone* Work Phone
Parent 1 Name* Parent 2 Name*
Parent 1 Cell Phone* Parent 2 Cell Phone*
Parent 1 Email* Parent 2 Email*
Emergency Contact* Emergency Phone*
School*
Is your child a USTA Member? Yes No USTA #

Please supply any additional comments that would help us place your child in our programs:

T-Shirt Size*
Junior: S    M    L      
Adult: S    M    L

2013 Program Dates*
You may sign up for a single week or any combination of weeks that fit into your plans.

Please choose desired week(s):
Entire Summer
Week 1: June 10-14
Week 2: June 17-21
Week 3: June 24-28
Week 4: July 1-5 (closed 7/4)
Week 5: July 8-12
Week 6: July 15-19
Week 7: July 22-26
Week 8: July 29 - August 2
Week 9: August 5-9
Week 10: August 12-16
Week 11: August 19-23
Week 12: August 26-30
Please see our fees page for costs.

Program Type*

Full Day Program (10am-4pm)
Early Drop-Off (9am-10am)
Half Day Program (1pm-4pm)

Do you want transportation?
Yes
No

If Yes, please check Round Trip One Way
Pickup Address Cross Street
Return Address Cross Street

How did you hear about us?*

Refer a Friend
Please tell us if you'd like to refer a friend and receive a $50 credit per new player referral to Gotham Tennis Academy. To qualify, please provide the name(s) of the player, parent's name, email address and telephone number.

Please remember that your child’s participation in the Gotham Tennis Academy Program is a standing weekly commitment which cannot be rescheduled, except in the event of a cancellation by Gotham Tennis. Credits for cancellations by customer are issued at Gotham Tennis Academy’s sole discretion. No refunds. Note: There is a 3% additional processing fee applied to all credit card payments.

I understand and acknowledge that the risk of injury is inherent in any program involving physical activity. As the Parent/Guardian of *, I hereby waive and release any and all full rights and claims for damages I may have against Gotham City Tennis, LLC and Riverside Clay Tennis Association, its principals, agents, staff and tennis professionals, for any and all injuries sustained by the player. This includes transportation to and from the program in connection with any participation in this program. Gotham City Tennis, LLC is relieved of any liability as a result of negligence. I so hereby give my consent to medical emergency or otherwise, inclusive of necessary transportation in order to receive treatment in the event of injury or any other illness with my child.

In addition, I understand and agree that Gotham City Tennis, LLC retains the right to expel my child from its programs if he/she engages in conduct that is dangerous or disruptive to its programs. I further agree to let Gotham City Tennis, LLC use any images or pictures of my child in the program for advertising or marketing purposes.

Please check below if you would like to hear more about:
Hamptons Summer Camp
Hamptons Junior Programs
Hamptons Adult Programs
New York City Adult Programs
Manhattan Summer Tennis Camp
Adult Tournaments
Children's Tournaments

From time to time, Gotham Tennis Academy receives special tennis discounts and promotions.
Please let us know if you would like us to contact you about any of the following:
Tennis Vacations
Tennis Equipment
Tennis Clothing
Tickets to the US Open
Tickets to Other Grand Slams (i.e. Wimbledon, French, Australian)
Tennis Magazines
Tennis Books
Tennis Videos
Tennis Seminars - Please specify topic of interest
Other - Please specify