Academy Of The Sacred Heart After School K

Student Name *

First

Last

Grade *

Age *

Homeroom *

Sacred Heart After School Session 1

Wednesdays 3:45-4:45 PM

Sep 2, Sep 9, Sep 16, Sep 23, Sep 30 & Oct 2 - $180.00

Sacred Heart After School Session 2

Wednesdays 3:45-4:45 PM

Oct 14, Oct 21, Oct 28, Nov 4, Nov 11 & Nov 18 - $180.00

Total

$0.00

Parent and Billing Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Phone 2

Email *

Stripe Credit Card *

Card

Name on Card

Student Dismiss: *

Please note that tennis classes will be perfomred on the paved outside recess area and that your child/children needs to be picked up by a legal guardian or sent to After-Care.

Pick Up Instruction: *

After Care
Guardian Pick Up

Assumption of Risk: *

I understand that participation in tennis activities involves inherent risks, including but not limited to physical injury, illness, or property damage. I voluntarily assume all risks associated with participation in programs, lessons, clinics, camps, and events hosted by Abrie du Plooy Tennis Academy.

Release & Waiver of Liability: *

I hereby release, waive, and discharge Abrie du Plooy Tennis Academy, its owners, directors, coaches, staff, partners, facilities, and affiliates from any and all claims, demands, actions, or causes of action arising from participation in academy activities, including those resulting from ordinary negligence.

Medical Authorization: *

In the event of injury or medical emergency, I authorize Abrie du Plooy Tennis Academy staff to obtain emergency medical treatment if necessary. I accept responsibility for any medical expenses incurred.

Photo & Media Release: *

I grant permission for photographs and video recordings taken during academy activities to be used for promotional and marketing purposes, including website and social media use, without compensation.

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ADP Tennis At Your School – Academy of the sacred heart

PK – K Time & Sessions

Sacred Heart After School Session 1

Sacred Heart After School Session 2

Parent and Billing Information

CONTACT

Email

payment for sessions