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Working to develop and maintain Junior Programs for children in the public communities of Jacksonville

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Sunday, July 21, 2019 
Jax Youth Tennis enrollment for all locations Online Enrollment
4/1/2017

Parent/Guardian Section – Please read completely.

By enrolling online I hereby give my consent for my son/daughter (enrolled participant) to participate in the USTA Jr. Team Tennis Program/QuickStart format of play and to receive any necessary first aid or other emergency medical treatment while he/she is participating in a USTA Jr. Team Tennis activity.

I am aware and fully understand that participation in any sport can be dangerous in nature and involves risks of injury. I further understand the nature of this sport and the dangers and risks of playing or practicing to play and participate, and that doing so may result in injury to the above named player.

I agree that JaxParks and JYTA will not be held responsible for any physical injury or loss caused by injury, theft, or otherwise, which may occur during participation in any function as a member of this program.

Accepted electronically by enrolling online on this date.

Payment due upon enrollment, follow up as described below.

Option 1: You may make secure online payments for the correct amount after submitting this enrollment using any major credit card by using Pay Pal. Space is limited.  Payment must be received in order for us to confirm the enrollment and place your child on a roster.

Option 2: You may mail a check or money order made payable to the Jax Youth Tennis Association. Space is limited. Payment must be received in order for us to confirm the enrollment and place your child on a roster.

Mailing Address:

Jax Youth Tennis Association

2882 Plummer Cove Road

Jacksonville, Florida 32223

           

Person making this enrollment request
First Name
Last Name
Address 1
Address 2
City
State/Province
Zip/Postal Code
Phone
E-mail Address
Participant Information
Participant information is the same as above.
When you submit this form you will be prompted to enroll additional participants if desired.
Participant First Name
Participant Last Name
Participant Age
Phone same as above
E-mail Address same as above
Players date of birth:
T-shirt size: YS,YM,YL, AS,AM,AL,
Is participant a beginner who has not played tennis? Yes No
Is participant a beginner who has played some tennis? Yes No
Participated in the spring/fall seasons of this program before? Yes No
Participated in another tennis program before? Yes No
Can rally over the net? Yes No
Can serve over the net? Yes No
Can hit a forehand stroke? Yes No
Can hit a backhand stroke? Yes No
Are you able to assist on court as a helper? Yes No
Comments
I accept the liability waiver and terms of service for this event.
 
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