"TENNIS FUN AT ANY AGE!"
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LITTLE ACES TENNIS SUMMER CAMP 2012
Please check which class:
_________ 5 & under 10am -10:45am
_________ 5-10 yrs 10:45am-11:45am (new students)
_________ 5-10yrs 11:45am -12:45pm (advanced class! Must have taken previous tennis
classes and be approved by Coach Shaffer)
□ Week 1: M-Th, June 25–28 □ Week 6: M-Th, July 30- Aug2
□ Week 2: M-Th, July 2,3,5 □ Week 7: M-Th, Aug 6-9
□ Week 3: M-Th, July 9-12 □ Week 8: M-Th, Aug 13-16
□ Week 4: M-Th, July 16-19 □ Week 9: M-Th, Aug 20-23
□ Week 5: M-Th, July 23-26 □ Week 10: M-Th, Aug 27-30
If you know the dates you want to come specifically, then you can list them here and pay them up front at $15 a class. ____________________________________________________________________________________________________________________________________________________________
Amount Due including registration:___________________________ (Please make checks payable to Debbie Graham Shaffer.
First call Little Aces Tennis to reserve a space, and then return this form ASAP with your payment.
Sorry, there are no refunds or makeup’s after classes begin. There is no class July 4th and there is no advanced class the week of July 23-26.
Student’s Name: _________________________________________________________________
Age student will be at beginning of Camp :_______ Birth date:____/____/_____.
Parent’s Name(s): _____________________________________________________________
Mailing Address: _____________________________________________________________
Home Phone: _____________ Work Phone(s): (Mom) ______________(Dad)_____________
e-mail address _______________________________________________________________
How did you hear about Little Aces?_________________________________________
Does your child have any allergies or special needs that we should be aware of? __________________
In case of Emergency, Little Aces should contact:
Name ___________________________________Phone # ___________________________
Name ___________________________________ Phone # ___________________________
In case of Emergency, Little Aces is authorized to seek medical attention from emergency services and/or:
Doctor ___________________________________Phone # ___________________________
I understand that every precaution is taken to secure the safety of each student; however in case of an accident, I agree to release Little Aces from any liabilities.
Little Aces Camp 2012
LITTLE ACES TENNIS
Debbie Graham Shaffer www.littleacestennis.com (949)350-8367
728 S. Crown Pointe Dr, Anaheim Hills CA 92807