PATA Junior Beginner Clinic Registration
When:
Session Dates are September 5th, 12th, 19th* (4pm), & 26th at 11am; and October 3rd, & 10th at 11am.
Where:
All clinic sessions will be held at Journey Middle School.
Who:
Open to junior players age 5-12. Racquet and tennis attire required. Must be willing to learn and have fun!
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
By agreeing below, I authorize and grant PATA to take my photo regarding experiences with them, for potential use on Facebook, Twitter, Instagram, and other social media platforms. I allow PATA to edit, alter, copy, or distribute the photos for social media advertising and marketing.
*
I Agree
I Disagree
I/We hereby understand and acknowledge that the training, programs and events held by the Piedmont Area Tennis Association (PATA) may expose me to many inherent risks, including accidents, injury, illness (including but not limited to COVID-19), or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me. I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and PATA furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE PATA, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in the PATA training, programs and/or events. By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
*
I Agree
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
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Clinic Session September 5th, 11am
$10.00
$
10.00
Clinic Session September 12th, 11am
$10.00
$
10.00
Clinic Session September 19th, 4pm
$10.00
$
10.00
Clinic Session September 26th, 11am
$10.00
$
10.00
Clinic Session October 3rd, 11am
$10.00
$
10.00
Clinic Session October 10th, 11am
$10.00
$
10.00
Credit Card
Submit
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