Name *
Contact Number *
Address
E-Mail *
Parent/Guardian Name *
Emergency Contact Name *
Emergency Contact Relation to Child *
Emergency Contact Phone *
PLEASE CHECK DESIRED ACADEMY OPTIONS
September Beginner/Intermediate
September Advanced
October Beginner/Intermediate
October Advanced
November Beginner/Intermediate
November Advanced
December Beginner/Intermediate
December Advanced
January Beginner/Intermediate
January Advanced
Feburary Beginner/Intermediate
February Advanced
March Beginner/Intermediate
March Advanced
April Beginner/Intermediate
April Advanced
May Beginner/Intermediate
May Advanced
Saturday 1 hr. Private Lesson (Dates and Times):
The undersigned hereby forever releases, discharges, and covenants to hold harmless Pride Tennis Academy, LLC, First Serve, Inc., First Serve Foundation Inc., DeKalb County Parks and Recreation, and any other person, firm, corporation, charged or chargeable with responsibilities or liability, their heirs, administrators, executors, successors, and assignees from any and all claims, demands, damages, of any kind sustained, or that may hereafter be sustained, arising out of the matters described herein or in conseqquence of the participation in the recreational program sponsored by Pride Tennis Academy, LLC, First Server, INC., DeKalb County Parks and Recreation, and/or Sugar Creek Golf and Tennis Center. The undersigned hereby bind their heirs, administrators, executors, and successors.
Parent/Guardian Signature and Date *
Student Signature and Date *
