Test Form - Future Tennis

Student Name *

First

Last

Age *

School *

Grade *

Parent Release: I hereby release Future Tennis, Inc., sponsors and instructors from responsibility for damages, losses or injuries suffered by me and/or my child in connection with tennis program. *

Photo Release: I allow use of photos and videos of my child for promotional purposes. Future Tennis does not publish individual names of minors in any publications.

Parent and Billing Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Phone 2

Email *

Choose Sessions

SAT 4-6 PM

Saturdays Jan 18 - Feb 22 - $1.00

SUN 4-6 PM

Sunday Jan 19 - Feb 23 - $1.00

Stripe Credit Card *

Card

Name on Card

Total

$0.00