Steps To Sign Up

1) Copy & Paste Below Information

2) Fill Out & Sign

3) Check Payable To AMP TENNIS, LLC 

4) Mail Form & Check To

     AMP TENNIS, LLC

     PO Box 991

     Concord, NC 28026

5) Await Email From Chad Oxendine

6) Weekly Email Updates From Chad Oxendine

7) Further Questions or Concerns

     Contact chad@amptennis.com

 

 

Player’s Name __________________________ Age __ Date of Birth  __________

 

Home Phone # ______________________  Mobile Phone # _________________

 

Work Phone # _________________    Email Address _______________________

 

Parent or Guardian ___________________________________________________

 

School Attending ________________________________ Grade Level __________

 

Mailing Address ______________________________________________________

 

City ____________   Zip Code __________ Site Location ____________________

 

 

Please circle the days your child plans to play matches

 

May 04     May 11     May 18     May 25     June 01     June 08 

 

Please circle the days your child does not plan on playing matches

 

May 04     May 11     May 18     May 25     June 01     June 08  

 

Waiver Liability

We, (I) the parent/guardian give permission for __________________ to participate in the AMP TENNIS, LLC

 tennis program(s). We, (I) hereby waive and release AMP TENNIS, LLC and City Of Concord Parks & Recreation

 and its staff or instructors from any liability, injury or illness incurred while participating in the programs.  I have no knowledge of any physical impairment that would be affected by my child’s participation in the programs.

 

 

___________________________________________            Parent Signature

 

 

___________________________________________           Parent Printed Name

 

 

_____________________                                                      Date