Welcome to our site!

Member Login

Not a Member?

Summer Enrollment 2018

AMP Junior Star Tennis Academy  

Summer Enrollment Form

 

Name __________________________ Age __ Date of Birth  __________

Home Phone # ___________________ Mobile Phone # _______________

Work Phone # _______________Email Address _____________________

School Attending _________________________ Grade Level __________

Parents _____________________________________________________

Mailing Address _______________________________________________

City ___________ Zip Code ________ Site Location __________________

 

Please circle the class your child plans to attend:

 

Twinkle Stars    Tiny Stars      Future Stars     Superstars      Tournament Stars

(8:30-9:30am)                                         (9:30-11:30am)                

                                                                                     (9:30-12:30pm)

Please circle the boxes for the sessons your child plans to attend:

Session    I June 11 - 15             II June 18 - 22             III June 25 - 29

              IV July 02 - 06              V July 09 - 13              VI July 16 - 20

              VIII July 30 - 03           IX Aug 06 - 10               X Aug 13 - 17        
                 

 Please circle the days your child plans to attend:

         

Monday       Tuesday       Wednesday        Thursday        Friday        

Waiver Liability

          We, (I) the parent/guardian give permission for __________________ to participate in the AMPTENNIS, LLC. tennis program(s). We, (I) hereby waive and release AMPTENNIS, LLC., 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.

 

___________________________________________            Signature

___________________________________________            Printed Name

_____________________                                                      Date

 

Cut and paste into your word processor edit your information and email as an attachment to chad@amptennis.com

                                Or

Print and mail back to AMP, Inc.,    PO Box 991    Concord, NC 28026-0991

tweedy-trick
tweedy-trick
tweedy-trick
tweedy-trick