LITTLE ACES TENNIS

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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

Fees:

• $20 Enrollment Fee per camper due to reserve space (non club members only and new students)
• $15 per class if 5 weeks of class paid upfront (does not have to be consecutive weeks or every day of the week) Please specify dates below.
• $20 per class if you pay as you go (enrollment fee must be received in advance)

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 4^th 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: _____________________________________________________________

__________________________________________ Zip:______________

Home Phone: _____________ Work Phone(s): (Mom) ______________(Dad)_____________

e-mail address _______________________________________________________________

How did you hear about Little Aces?_________________________________________

Medical Information:

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 # ___________________________

Address _____________________________________________________________________

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.

Signature ______________________________________Date______________________________

Little Aces Camp 2012

Registration Form

LITTLE ACES TENNIS

Debbie Graham Shaffer  www.littleacestennis.com (949)350-8367

728 S. Crown Pointe Dr, Anaheim Hills CA 92807