Dakota High School

Fall Youth Tennis Program

Open to All District Students in Grades 5-8

Season: September 11th – October 23th, 2018 Location: Dakota High School Tennis Courts
Time: Tuesday’s at 6:00 pm (Weekly Practice) Fee: $85
Match schedule can be found online at www.dakotatennis.weebly.com.
Cost Covers: Registration fees, instruction, skill building, match play, as well as a t-shirt.
Students will be required to bring one can of tennis balls to the first practice.
Registration is due by September 7th, 2018. Please use activity #836059-05.
Payment can be made by VISA, MASTERCARD, cash, or check.

Payment must be made online, in person, or mailed to:

Chippewa Valley Schools: Adult and Community Education
19230 Cass Avenue, Clinton Township, MI 48038

Online Payments: https://onlinereg.cvs.k12.mi.us

All withdrawals are subject to a $8.00 processing fee. Withdrawals after September 7th will be refunded at 50%,
while withdrawals made after September 11th will not be refunded. A $20.00 fee will be assessed for any return
checks.
For questions or inquiries, please contact Emily Fox (program director) at efox@cvs.k12.mi.us or (586) 723-2985.
Please note, coaches cannot accept registration payments!

PAYMENT IS DUE IN FULL AT TIME OF REGISTRATION

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Registration cost is $85, plus one can of tennis balls.
Withdrawals made after September 11th, 2018, will not be refunded.

Youth Tennis Activity Number: (836059-05), September 11th - October 23th, Dakota High School Tennis Courts

Participants Name: ____________________________________________________________ DOB: ____________________

Grade: ____________________ School: ____________________________________________________________________

Parent’s Name: ____________________________________________________________ Phone #: ____________________
Address/City/Zip: _______________________________________________________________________________________

Alternate Phone: ______________________________ Email Address: ____________________________________________

Cash: __________ Check: __________ VISA/MASTERCARD: __________

Visa or MasterCard #: _______________________________ Exp. Date: ________ Name on Card: _____________________

Cardholders Signature: ____________________________________________________________

Shirt Size (Circle One): YL AS AM AL AXL AXXL