Check Week or Weeks Attending *

June 3rd —June 6th

June 10th —June 13th

June 17th —June 20th

June 24th —June 27th

July 1st —July 3rd

July 8th —July 11th

July 15th —July 18th

July 22nd —July 25th

July 29th —August 1st

August 5th — August 8th

August 12th — August 15th

August 19th — August 22nd

Days of Week attending *

Morning Camp only. Select no more than the number of days attending Example: If attending two days a week only select two days of week.

Monday

Tuesday

Wednesday

Thursday

Child Name *

First Name

Last Name

Parent Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency contact if different

First Name

Last Name

Emergency contact number if different

(###)

###

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Medical and Liability Release *

I agree that all activities at King's Court Tennis Academy shall be undertaken at the player’s own risk, that the player is in good physical condition and physically able to undertake any and all physical activities and has notified KCTA if the player has any medical conditions. I hereby release King's Court tennis Academy LLC; its employees, tennis professionals and sponsors of all responsibility in the event of an accident, negligence or injury. I also consent to emergency and/or hospital services for my child/dependent as deemed necessary by physician and/or medical professional. KCTA and it’s employees shall not be liable for any theft, injuries or damages to you or your property. KCTA reserves the right to deny any players or patron wearing inappropriate attire or footwear when entering the property. Poor sportsmanship and bad language will not be tolerated. We, the parent/guardian of the above named, grant permission for King's Court Tennis Academy to use photographs of the above named students on the King's Court Tennis Academy Web Site and social media outlets (http://www.kingscourttennisacademy.com, facebook, twitter, instagram etc) Hereafter known as KCTA Web Sites. The pictures may identify students by name.