Student's Last Name_______________         Student's First Name____________________
Gender___________  Age______   Date of Birth___________
Address_______________________   City______________   State________    Zip_________
Email_________________

Parent/Guardian Information
Father's Name________________   Work #___________   Cell #_______________
Mother's Name_______________    Work#____________ Cell #_______________
Home Phone_________________    Email:__________________

Two People To Notify In Case of Emergency If Parent/Guardian is Unavailable
Name_________________    Work #_____________    Cell #______________
Name_________________    Work #_____________    Cell #______________

Student's Doctor_________________       Phone________________
Allergies_______________________
List any special needs we should be aware of_________________________________________________________
Activity restrictions or precautions______________________________


Class________________   Day & Time_________________   Location______________   Price_________

Amount Paid___________   Date Paid_____________  

Please bring a new can of unopened tennis balls to first class.

Registration can be reserved with full payment, which includes a $10 non-refundable cancellation fee. Refunds are for medical reasons, with verification only.  Checks can be made payable to Tennis Solutions.

I hereby consent to allow my child or myself to be treated at the Medical Center of Princeton in case of an emergency.  I hereby agree not to hold Tennis Solutions liable for any personal injury, damage to, or loss of property suffered to my child or myself.  I hereby give my permission to Tennis Solutions to publish photographs of my child or myself on the Tennis Solutions website and/or advertising materials.  I will give at least 24 hours notice if I need to cancel a private lesson, otherwise I will be charged the full amount.

Signature_____________________   Date____________________

Please complete all information and return to Tennis Solutions or call 609.558.1077 to register.

Tennis Solutions
P.O. Box 6514
Lawrenceville, NJ 08648
Tel: 609.558.1077