Reebok Sports Club/NY (Upper West Side)

Before you indicate your preferences below, please see our Reebok Summer Camp 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

Please tell us about your child's experience with tennis, if any, and other sports.

Contact Information

Home Address*
Zip Code*
Home Phone* Work Phone
Parent 1 Name* Parent 2 Name
Parent 1 Cell Phone* Parent 2 Phone
Parent 1 Email* Parent 2 Email
Emergency Contact* Emergency Phone*
School* Dismissal Time*
Are you a Reebok Member? Yes No Member #
Are you a Sports Club/LA Member? Yes No

Summer 2012 Program Dates*

Please choose your desired day(s) or week(s)
Week 1:June 4 June 6 June 8
Week 2:June 11 June 13 June 15
Week 3:June 18 June 20 June 22
Week 4:June 25 June 27 June 29
Week 5:July 2 July 6
Week 6:July 9 July 11 July 13
Week 7:July 16 July 18 July 20
Week 8:July 23 July 25 July 27
Week 9:July 30 August 1 August 3
Week 10:August 6 August 8 August 10
Week 11:August 13 August 15 August 17
Week 12:August 20 August 22 August 24
Week 13:August 27 August 29 August 31

How did you hear about us?*

Please note the following policies:
Policies:
• Cancellation Policy: there are no refunds if an applicant cancels a registration
• We kindly ask families to refrain from bringing food and drinks into the gym and to turn off all cell phones
• Please arrange to have your child picked up on time
• A Fun 'N' Fit enrollment card must be completed on or before the first day of class by a parent or legal guardian
• Unfortunately we cannot accommodate any make-ups

Waiver & Consent: I agree to let my child * participate in tennis. I understand there are certain risks of injury in the participation of this sport and am willing to assume these risks. I confirm that my child is capable of participating in tennis and that he/she is in good physical condition. In addition to giving full consent to my child's participation, I waive, release and hold harmless Gotham City Tennis, LLC and the Reebok Sports Club/NY, Ltd, its officers, coaches and representatives for any injury that may be suffered by 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.

I * have read and understand the policies and procedures above.

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