Junior Team Tennis Practice (USTA)

Junior Team Tennis Practice Form
February 15^th - May 11^th 2025
Saturday & Sunday, 1 - 2:30pm

Player's Name*

First Last

Level*

12 & Under
14 & Under
18 & Under

Age*

Please enter a number from 10 to 18.

Parent Information

Parent's Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Parent's Email Address*

Enter Email Confirm Email

Parent's Phone*

I am a Tuckahoe Recreation Club Member*

Yes
No

JTT Practice [26 dates, 2/15 - 5/11]

Price:

Select the following option to participate in the program.

JTT Practice [NON-MEMBER]

Sat & Sun [1 - 2:30pm] ~ JTT ($288) [NON-MEMBER]

JTT Practice [MEMBER]

Sat & Sun [1 - 2:30pm] ~ JTT ($230) [MEMBER]

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Total Fees

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Season

Spring: Feb 14 - May 11 2025

Medical Authorization & Release

Student Name*

First Last

Student Condition*

By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first class session.

Date of Medical Authorization*

By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.

Date of Parent Release*

By dating above, I agree to hold the Pass Academy and Tuckahoe Recreation Club harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.

Cancellation Policy*

By checking this box I accept the following policy. Cancel prior to 1st class: pay for 1 class. Cancel after 1st class: pay for 1 class plus $75 replacement fee. Cancel after 2nd class: pay for 2 classes plus $100 replacement fee. No refunds after 3rd week. Medical reasons will be accepted with a doctor’s note.

Permission for Photo Use*

Yes
No

I give permission for photos of my child participating in Pass Academy programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.

Additional Information (optional)

A Submit button will appear below when the Total Fees from your selections above are greater than $0.

Total-Fees

Junior Team Tennis (USTA JTT) Practice Registration

Junior Team Tennis Practice FormFebruary 15th - May 11th 2025 Saturday & Sunday, 1 - 2:30pm

Parent Information

Medical Authorization & Release

Junior Team Tennis Practice Form
February 15^th - May 11^th 2025
Saturday & Sunday, 1 - 2:30pm