Junior

Program Sign-up Form

Winter 2014: Thursday, January 2 thru Wednesday, March 19, 2014

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 2014 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 2014 Session Prices: 11 weeks

Thursday, January 2 thru Wednesday, March 19, 2014

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

1 day per week

2 days per week

3 days per week

Unlimited

$242
$242
$330
$429

$264
$462
$638
$814

$396
$594
$792
$1,023

$968
$1,188

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

If program is billed to customer account, full amount will be billed in January, with full payment due by February 25.
Competitive programs paid in full, in advance (before the first class), in cash (cash or check, no debit cards) receive a 3% discount.
(Discount does not apply once the program begins or for Quickstart Programs.)
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 2014 session
(no make-ups after March 19, 2014)

Member #: ___________________ Payment in Full: $___________

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