Parent or Legal Guardian's Name
*
First Name
Last Name
Parent Email:
Cell Phone
*
(###)
###
####
Player 1: Name
*
First Name
Last Name
Player 1: Date of Birth (MM/DD/YYYY)
*
Player 1: Address (Street), City, State, Zip
*
Please select the week(s) PLAYER 1 is interested in attending:
Week 1 (June 17-21)
Week 2 (June 24-28)
Week 3 (July 1-3)
Week 4 (July 8-12)
Week 5 (July 15-19)
Week 6 (July 22-26)
Week 7 (July 29-August 2)
Week 8 (August 5-9)
Week 9 (August 12-16)
Week 10 (August 19-23)
2nd Player's Name (if applicable)
First Name
Last Name
Player 2: Date of Birth (MM/DD/YYYY)
Please select the week(s) PLAYER 2 is interested in attending:
Week 1 (June 17-21)
Week 2 (June 24-28)
Week 3 (July 1-3)
Week 4 (July 8-12)
Week 5 (July 15-19)
Week 6 (July 22-26)
Week 7 (July 29-August 2)
Week 8 (August 5-9)
Week 9 (August 12-16)
Week 10 (August 19-23)
*
Emergency Contact Cell Phone
(###)
###
####
*
Authorized Pickup Cell Phone
(###)
###
####
Special Needs Player 1
*
Please provide additional detail or information with respect to any health (including allergies, medications, etc.) or other issues concerning the Player that the Club should be aware of:
Does this Player have any Mental, Social or Emotional Health Concerns outlined below?
NO mental, social or emotional concerns
Diagnosed with ADD or ADHD
Psychiatric (depression, OCD, panic/anxiety)
Has a learning challenge (disability)
Has seen or is currently seeing a professional
Had a significant life event occur, stress inducing
Other mental, social or emotional health concern
Special Needs Player 2
NO mental, social or emotional concerns
Diagnosed with ADD or ADHD
Psychiatric (depression, OCD, panic/anxiety)
Has a learning challenge (disability)
Has seen or is currently seeing a professional
Had a significant life event occur, stress inducing
Other mental, social or emotional health concern
OTHER
*
CANCELATION/CHANGE POLICY: It is understood that there will be no refunds of fees in the event of absence or withdrawal of any participant for any reason whatsoever, regardless of illness, voluntary withdrawal or conduct deemed unsatisfactory by the club.
If you need to cancel your child's week, in order to receive an account credit (no refunds), you must notify us in writing more than 14 days in advance of the first day. All such cancelations will be subject to a $75 withdrawal fee. If you cancel within 14 days prior to the start, there will be no credits or refunds. If you need to change your child’s week, it must be done at least 14 days prior to the registered week (space permitting). All change requests must be submitted in writing (info@murrayhilltennis.com). For any changes or transfers there will be a $25 per transaction administrative fee.
RULES AND REGULATIONS:
I understand and will comply with Murray Hill Tennis & Fitness summer training regulations, which are subject to
change. I acknowledge Murray Hill Tennis & Fitness reserves the right to remove players from the
program for conduct that is deemed detrimental to other players, staff or property. Make up
sessions will not be given for missed sessions for any reason.
RELEASE OF PROMOTIONAL PHOTOS:
All images, pictures and/or videos may be used to advertise Murray Hill Tennis & Fitness. I fully
understand and voluntarily accept responsibility for and choose to allow my player to participate in
summer training at Murray Hill Tennis & Fitness. I hereby certify that I have read and understand this
agreement and accept the terms and conditions of this application.
EARLY BIRD DISCOUNT: Enroll by April 15, 2024 for 10% off.
PAYMENT: Payment is due in full at the time of registration. By submitting this form you are authorizing us to collect payment in full. If you have a credit card on file with us, no additional action is required. A receipt will be emailed to you once payment has been processed. If you do not have a card on file with us, or are unsure of your account status, please give us a call at (908)665-1141. Please note, your player's registration cannot be confirmed until payment has been processed.
I have read and agree to the above
Assumption of Risk
*
Any athletic or physical activity involves certain risk. The undersigned parent/legal guardian of Player assume the risk of any and all accidents or injuries of any kind, including death, that may be sustained by, or in connection with the facilities and release, hold the club harmless, discharge and absolve the club, its officers, owners, agents and employees, from any and all liability or responsibility in connection therewith. I understand that Murray Hill Tennis & Fitness is not responsible for any lost, stolen, or damaged valuables or property.
I/we have read this assumption of risk and waiver of liability, fully understand its terms, understand that I/we have given up material rights by agreeing to it and agree to it freely and voluntarily without any inducement.
How did you hear about our program?
*
Program participants get a 20-minute break each day. Please check the below box if you give us permission to allow your player to leave the premises unsupervised (e.g., to go across the street and get pizza at Coppolas).
*
Yes, you have my permission.
No, you do not have my permission.