FALL 2010 ADULT, JUNIOR, MUNCHKIN AND PEE WEE REGISTRATION FORM
FOR FALL 2010 ONLY

Name:____________________________________
If 17 or younger: Boy____  Girl____   Age:____  D.O.B______________

Street address________________________________________________

City, State, Zip________________________________________________

Phone:_____________________(home)  _____________________(cell/work)

E-Mail address: _________________________________________

Level: ____Beginner  ____Low Intermediate   ____Intermediate  ____Advanced

Program Name:________________________________________________

Day & Time: ___________________________________ (1st Choice)
Day & Time: ___________________________________ (2nd Choice)
Day & Time: ___________________________________ (3rd Choice)
Signature: ________________________________________

PAYMENT INFORMATION
Payment method: ____Check enclosed(Made payable to The Racquets Club of Warren) ____VISA ____MasterCard
Amount of payment (Payment in full is required for registration. $_____________
Name as it appears on credit card ______________________________________
Credit card billing address___________________________________________
________________________________________________________________
Card number _____________________________________________________
Exp date: _____/_____ CVV/CVC*_____________
*This number is the three digits printed in the signature area on the back of your card.
Card holder signature: ______________________________________________

Parent/legal guardian signature required for applicants under 18 years of age, allowing participation and waiving any claims that may result from injury as a result of tennis activity.
Please note: Classes missed for personal reasons (illness, vacations, etc.) are lost.  Make-ups are NOT provided and no refunds or credits for such missed classes will be given.  Credit in the next session may be given for documented long-term illness or injury.  Registration fees will not be refunded or credited if you cancel after your class has been confirmed.
Please click the following link for a list of the days and times offered: Fall Schedule
Click the following link for a list of start/end dates and dates off: Tennis Dates

IMPORTANT! To participate in the above programs, you must register and pay by Saturday September 4, 2010.
A separate check is required for each registration.  Your cooperation is appreciated.
PLEASE NOTE: We are now accepting Visa and MasterCard for payment for the Fall Program.  Please fill out the required information on the form. Your card will not be charged until you are contacted with your class assignment.
You may not register online, however you can print this application and either mail it to or drop it of at the address listed below.
To register for any of the programs, fill in the information above and mail with your check(s) for payment in full to:
The Racquets Club of Warren
149 Mt Bethel Road
Warren , NJ 07059
908-647-0400