Town of Fort Erie Tennis Program Registration Form

Program Fee:

Youth Program Fees: $120

Adult Program Fees: $150

Program Duration: June 19 to July 28

Participant Name:

Date of Birth:

Age:

Parent/Guardian Name (if participant us under 18)

Address:

Phone Number:

Email Address:

Emergency Contact Name:

Emergency Contact Phone Number:

Program Selection (Please Select One)

Red Ball (Ages 3-6) - Mondays, 5:00-6:00 p.m.

Orange Ball (Ages 6-8) - Mondays, 6:00-7:00 p.m.

Green Ball (Ages 8-11) - Mondays, 7:00-8:00 p.m.

Regulation Teens (Ages 10-18) - Tuesdays, 6:45-7:45 p.m.

Regulation Adult - Tuesday, 6:00-7:00 p.m.

Regulation Adult (55+) - Tuesday, 7:00-8:00 p.m.

Medical Information / Allergies

Participant Agreement

I understand that participation in recreation programs involves inherent risks. I agree to follow all program rules and directions provided by instructors and the Town of Fort Erie.

Participant Signature:

Clear

Date:

Parent/Guardian Signature (if under 18)

Clear