Membership Registration

NameChilds Name

GenderMaleFemale

Date Of Birth

School

Parents Name

Phone

Email Address

Address

Work Phone No

NamePlease list the names of anyone else who is authorized to pick up your child (ren) from camp.

NamePlease list the names of anyone else who is authorized to pick up your child (ren) from camp.

Any relevant allergies:

Any behavioral or health problems:

In the event of an emergency please contact

Emergency Contact Relationship

Emergency Contact Phone No

Equipement NeededSports shoes /SneakersSun Hat/CapClearly marked tennis raquetWater bottle and snackClothing for all weatherSkipping rope

Upload Signature

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I hereby agree to all the terms and conditions and give my permission without restriction to Bumblebee Sports and Fitness and its assignees to photograph or videotape my child during participation in Tennis Programs. I specifically waive any rights to compensation with respect to my child's name, likeness, picture and/or voice. The purpose of this release is to facilitate publicity for Bumblebee Sports programs.

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