Registration Form

Session-I, September 11 – October 13

Red Ball I – Beginner level, 4-5yrs, Mon&Thur 5:30pm-6:30pm – $ 140.00
Red Ball II – Beginner level, 6-7yr, Mon&Thur 6:30pm-7:30pm – $ 140.00
Orange Ball I – Beginner level, 8-12yrs, Tue&Thur 5:30pm-7:00pm – $ 180.00
Orange Ball II – Beginner level, 13-17yrs, Tue&Thur 5:30pm-7:00pm – $ 180.00
Green Ball I – Intermediate level, 8-12yrs, Mon&Wed. 5:30pm-7:00pm, Tue 7:00pm-8:30pm – $ 250.00
Green Ball II – Intermediate level, 13-17yrs, Mon&Wed 5:30pm-7:00pm, Tue 7:00pm-8:30pm – $ 250.00
Yellow Ball I – Advance level, 11-12yrs, Mon&Wed 7:00pm-8:30pm, Fri 5:00-6:30pm – $ 250.00
Yellow Ball II – Advance level, 13-17yrs, Mon&Wed 7:00pm-8:30pm, Fri 5:00-6:30pm – $ 250.00
Adult I – Beginner to Advance Beg., 18&Over, Tue 7:00pm-8:30pm – $ 150.00
Adult II – Intermediate to Advance Interm., 18&Over, Thur 7:00pm-8:30pm – $ 150.00

Select one choice

Session-II, October 23 – December 1

Select one choice. Minimum number of registrations needed to hold a class: RB and OB is (4); GB and YB (5); Adult is (3)

Student's Name *

First

Last

Age *

Birthdate *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

USTA#/Rating/Ranking (if available)

Medical and/or Disabilities

Interested in Private Lessons?

Yes
No

Child's Ethnicity (Optional) (Used solely for program grants)

Parent's Name (Primary Contact) *

First

Last

Email *

Phone Number *

Interested in volunteering in your child's class?

Yes
No

Yearly Household Income (Optional)(Used solely for scholarship eligibility, if available)

Emergency Contact

Name, Phone# and Relationship

COMMENTS

Total Payment *

$ 0.00

Classes may be combined if the minimum number of registration is not met. If you mistakenly clicked on the wrong class(s), you may need to start over.

All participants certify that they assume all risks and hazards including loss and/or damage of personal property. I will not hold the NJTP staff, board members, volunteers and LA County Parks & Rec. Dept. liable in connection with any events associated with the Neighborhood Junior Tennis Program. *

Today's Date *

Square *

Card

Name on Card