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Junior

Program Sign-up Form


Fall 2012

Tuesday, September 4 thru Monday, October 29


Please sign and return this Junior Program Sign-up Form to enroll in the Racquet Club
Junior Program. By signing, you acknowledge that you have read and understand the
Junior Program rules, including Class Policies, Make-up Policy and Class Commitment
Policy as outlined in the Junior Tennis Program Fall 2012 Junior Tennis Program
Brochure.

Student name: ____________________________________________________________________________________


Address: _____________________________________________ e-mail: __________________________________


City: ____________________________________________________ State: _____________ Zip: _____________


Phone Number: ____________________________________ Cell #: ____________________________________


Class Name: _____________________________________________________________________


Class Day(s): _________________________ Class Time: __________________________


Parent/Guardian Signature: ___________________________________________________________________


Please PRINT Parent/Guardian Name: _______________________________________________________



Fall 2012 Session Prices: 8 weeks, Tuesday, September 4 thru Monday, October 29

A 1 Hour Programs
B 1.5 Hour Programs
C 2 Hour Programs

1 day per week

2 days per week

3 days per week

Unlimited

$176
$240
$312

$336
$456
$576

$424
$536
$696

$624
$792

If program is billed to customer account, full amount will be billed in September, with full payment due by October 25.
Programs paid in full, in advance, in cash (cash or check, no debit cards) receive a 3% discount.
Non-members are required to pay all program fees in advance.
Junior Membership: $169

MAKEUP POLICY:

Missed classes can be made up in a class of equal ability on a different day


with prior permission on a space available basis.

Makeups must be taken before the end of the Fall 2012 session
(no make-ups after October 29, 2012).


Member #: ___________________ Payment in Full: $___________
Check #: ______ Ck Date: ______ Credit Card ___
Cash ___
Start Date: __________________

One-time
drop-in rate
$22
$30
$39