Register

To register for any of our after school programs, including Little Stars, please click here to contact us.

 

For our 2016 Summer Program you can either Register Online or click below to download a PDF of our Program Registration Form.

PDP REGISTRATION SUMMER 2016

MEDICAL FORM


Player's Information

First Name:

Last Name:

Date of Birth:

Gender
 F M

School:

Grade Fall 2016:

Allergies (or any other safety information):

Ability:
 Beginner Intermediate Advanced Tournament

T-Shirt Size:
 Junior S M L Adult S M L XL


Registration

Programs:

Week(s):
 June 13-June 17 June 20-June 24 June 27-July 1 July 5-July 8 July 11-July 15 July 18-July 22 July 25-July 29 Aug 1-Aug 5 Aug 8-Aug 12 Aug 15-Aug 19


Contact Information

Parent's Name (1):

Address (Street):

Address (City, State, Zip):

Home Phone:

Work Phone:

Cell Phone:

Email

Parent's Name (2):

Address (Street):

Address (City, State, Zip):

Home Phone:

Work Phone:

Cell Phone:

Email

Emergency Contact's Name :

Address (Street):

Address (City, State, Zip):

Home Phone:

Work Phone:

Cell Phone:

Email


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Cancellations and Make-ups

As a parent or guardian of the applicant, I here by accept the conditions of enrollment . I understand all risks
and hazards incidental to on court play and participation in all programs provided by PETAR KANEV TENNIS,
Llc, and wave, release, absolve, indemnify, and agree to hold PETAR KANEV TENNIS Llc. and it’s representatives
unaccountable for injuries, damages or losses.
I understand that as of June 1st 2016 cancellations will be non-refundable. Prior to June 1st 2016, payments
are refundable minus a $100.00 cancellation fee.

Unless otherwise stated in the box below, photo and video content including the student named above
maybe used for PDP promotional materials.

Refer to our Policies page for additional info.

By checking the box below, you grant permission for the student named above to participate in all activities connected with the registered practice at PDP:

I accept the terms and conditions stated above

 I do not grant PDP permission to use photos/ videos of the student named above for PDP promotional material

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