Tennis Camp Registration FORM Summer Tennis Camp "*" indicates required fields Location*Select an optionBriarcliffJefferson ValleyCamp Selection* Before Camp (8 am - 9 am) Full Day (9 am - 4 pm) Half-Day (9 am - 12 pm) Afternoon (1 - 4 pm) Jr Team (4 - 5:30 pm) After Camp (4:30 pm - 5:30 pm) Camp Selection* Full Day (9am-4pm) Half Day (9am-12pm) Half Day (1pm-4pm) Camper's Name* First Last Date of Birth* MM slash DD slash YYYY Grade Level*Please enter a number from 1 to 12.Parent or Guardian's Name* First Last Email Address* Phone Number*Address Street Address City State / Province / Region ZIP / Postal Code Apply Sibling Discount?* Yes No Participant is a* Member Child of Member Non-Member Select Your Weeks* Pre Camp Week 1: June 13th - June 17th Pre Camp Week 2: June 20th - June 24th Week #1: June 27th - July 1st Week #2: July 4th - July 8th Week #3: July 11th - July 15th Week #4: July 18th - July 22nd Week #5: July 25th - July 29th Week #6: August 1st - August 5th Week #7: August 8th - August 12th Week #8: August 15th - August 19th Week #9: August 22nd - August 26th Week #10: August 29th - September 2nd Select Your Weeks* Week #1: June 27th - July 1st Week #2: July 4th - July 8th Week #3: July 11th - July 15th Week #4: July 18th - July 22nd Week #5: July 25th - July 29th Week #6: August 1st - August 5th Week #7: August 8th - August 12th Week #8: August 15th - August 19th Week #9: August 22nd - August 26th Week #10: August 29th - September 2nd If Only Daily, Please Select Your Days of the Week Monday Tuesday Wednesday Thursday Friday Payment Info* Member House Charge Credit Card Payment Plan Cash Check Total Price* I hereby represent to Club Fit®, its affiliates, shareholders, partners, officers, agents, servants, employees and representatives (collectively, “Club Fit®”), that I (my child) am in good physical condition and am able to safely participate in Club Fit®’s fitness and sports programs. I acknowledge that Club Fit® urges every participant to have a medical check-up before participating in any of Club Fit®’s programs. I appreciate the danger of physical stress, strain, or injury and assume whatever risk is involved as a result of my (my child’s) use of the facilitates, equipment or services of Club Fit®. I hereby release and hold Club Fit® harmless from and against any and all claims, liability, loss, damage, or injury sustained or incurred in connection with my (my child’s) use of the facilities, equipment or services of Club Fit®, and waive any and all claims against Club Fit® for any damage or liability resulting from or in connection with such use, excepting such damage which may be caused by Club Fit®’s negligence. I hereby grant Club Fit® my consent and permission to use my (my child’s) name, portrait, picture, image, statements and comments and to copyright, use and publish the same in whole or in part, in any media for purposes relating to the business and activities of Club Fit®, including trade or advertising. I hereby release and discharge Club Fit® from any claims and demands arising out of or in connection with such use, including but not limited to any and all claims for libel or invasion of privacy. This release, waiver and consent shall be binding upon me and my heirs, legal representatives and assigns. The NYS Board of Health considers the Club Fit Aquatic Center an “off-site pool” requiring parental permission. I hereby grant permission for my child to swim in the Club Fit Briarcliff Aquatic Center during camp hours.Consent I agree to the privacy policy.CAPTCHA