Ladder Registration Form – Kleinburg Tennis Club

Junior Private Lessons Form

Junior First Name *

Junior Last Name *

Parent Contact First Name *

Parent Contact Last Name *

Primary Phone Number *

Alternate Phone Number

Parent Contact Email *

Level of Play

Describe your level of play (Beginner, Intermediate, etc.):

Gender *

Male

Female

Other

Conditions *

By registering, you are acknowledging to the following:

- By use of club premises, you expressly agree that Kleinburg Tennis Club, its officers, directors, employees, servants, or agents: o shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by your child while in or about the premises of said facilities. o shall not be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management, or any other person.

I accept the above conditions