Registration Form

Student's Name *

First

Last

Student's Age *

Student's Birthdate *//

Student's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Select Class: Classes begin Monday, 9/12/22 and end November 18, 2022 (10 week session) *

Orange Ball I - Beg - Adv Beg, 9 to 12yrs - Mon. 5:30pm to 7:00pm - $ 150.00
Orange Ball II - This class is closed. - $ 0.00
Yellow Ball I - Advance, 11 to 12yrs - Tue. 5:30pm to 7:00pm - $ 150.00
Yellow Ball II - Advance, 13 to 17yrs - Tue. 7:00pm to 8:30pm - $ 150.00
Green Ball I - Interm., 9 to 12yrs - Wed. 5:30pm to 7:00pm - $ 150.00
Green Ball II - Interm., 13 to 17yrs - Wed. 7:00pm to 8:30pm - $ 150.00
Adult - Beg. to Interm., 18 and over - Thurs. 6:30pm to 8:00pm - $ 150.00
Red Ball I - Novice, 4 to 5yrs - Fri. 5:30pm to 6:15pm - $ 100.00
Red Ball II - Novice, 6 to 8yrs - Fri. 6:30pm to 7:15pm - $ 100.00

The maximum number of registrations per class is 16 (12 for the Red Ball classes). All others will be put on a waiting list.

$ 0.00

Email (for all NJTP communications) *

Phone Number *

Father's Name

First

Last

Father's Phone Number

Father's Email

Mother's Name

First

Last

Mother's Phone Number

Mother's Email

Emergency Contact Name & Relationship

Emergency Contact Phone Number

Medical Issues and/or Disabilities

Child's Ethnicity (Optional)

Yearly Household Income (Optional-Used for Grants)

USTA# (if you have one)

USTA Rating (if you have one)

Interested in Private Lessons?

Yes
No

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. *

Registration Date

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