Junior

Program Sign-up Form

Winter 2013: Wednesday, January 2 thru Tuesday, March 19, 2013

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 Winter 2013 Program Brochure.

Student name: ____________________________________________________________________________________

Students e-mail (optional): ____________________________________________________________________

Please PRINT Parent/Guardian Name: _______________________________________________________

Parent/Guardians e-mail Address: ___________________________________________________________

Address: ___________________________________________________________________________________________

City: ____________________________________________________ State: _____________ Zip: _____________

Phone Number: ____________________________________ Cell #: ____________________________________

Parent/Guardian Signature: ___________________________________________________________________

Class Name: _____________________________________________________________________

Class Day(s): _________________________ Class Time: __________________________

Winter 2013 Session Prices: 11 weeks,

Wednesday, January 2 thru Tuesday, March 19, 2013

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

$242
$330
$429

$462
$627
$792

$583
$737
$957

$858
$1,089

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

If program is billed to customer account, full amount will be billed in January, with full payment due by February 25.
Programs paid in full, in advance, in cash (cash or check, no debit cards) receive a 3% discount.
(Discount does not apply once the program begins.)
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 Winter 2013 session
(no make-ups after March 19, 2013)

Member #: ___________________ Payment in Full: $___________

Check #: ______ Ck Date: ______ Credit Card ___
Cash ___
Start Date: __________________