Before you indicate your preferences below, please see our Programs and Fees pages for specific schedules and costs for each program.

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

Contact Information

Home Address*
Zip Code* Email*
Home Phone* Cell Phone*
Emergency Contact* Emergency Phone*
Are you or your child a USTA Member?
Yes No 		USTA #
For children:
Parent 1 Name Parent 2 Name
Parent 1 Cell Phone Parent 2 Cell Phone
Parent 1 Email Parent 2 Email
School Dismissal Time

Please select your preferred location(s)*
 Stadium Tennis Center at Mill Pond
Millennium UN Plaza Hotel
Napeague Tennis Club (Summer)
Your Home in the Hamptons (Summer)

Please select your preferred package *
 One 1-hour private lesson
10 1-hour private lessons
20 1-hour private lessons
30 1-hour private lessons
10 home lessons (minimum 2 hours)
20 home lessons (minimum 2 hours)
30 home lessons (minimum 2 hours)
Cardio Tennis
Group Clinic
Other (Please Specify):

How did you hear about us?*

Please remember that your or 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 Player or as the Parent/Guardian of *, I hereby waive and release any and all full rights and claims for damages I may have against Gotham Stadium at Mill Pond, LLC, Millennium UN Plaza Hotel, Gotham City Tennis, LLC, 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