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* Select 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Month* Select January February March April May June July August September October November December   Year* Select 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980

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

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

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?*

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, Riverside Clay Tennis Association and Harlem Tennis Center, 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