Sign Up For Middle School Tennis League

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