St Germaine Kids Tennis Club
After school, 3:20-4:20, in school gym, K through 8th grade.
Fri only, once per week
Session I  Sept 28-Nov 2, 2018
Session II  Jan 4-Feb 8, 2019
$100/6 Classes
Each Session is $100/6 classes
All equipment will be provided, children may bring their own racquet if preferred.
Contact Coach Chip Fazio, USPTA Elite Pro, with any questions at all 313-670-3277 chipfazio@gmail.com
Sign in to Google to save your progress. Learn more
Child's first name *
Child's last name *
Participant's Grade *
Birth year
Enter as 4-digit number
Birth month
Session Registering For, Check Any That Apply *
Required
Is your child in latchkey
Clear selection
Who may pick up your child/other instructions.
I hereby certify that the above named particpant has my approval to participate in activities conducted by First Serve LLC  for this year and subsequent years, unless I give written notice to the contrary. I understand and agree that the First Serve LLC  and its employees and agents assume no responsibility of liability for any accident or injury as a result of any aspect of participation in activities. I understand and acknowledge that participation in activities creates the potential for receiving an injury. With the knowledge of this potential risk of injury, I am giving the above named child permission to participate and accept full responsibility for this decision. I am the parent or guardian of the child. In the event of an injury, permission is hereby granted to First Serve LLC representatives to render, secure, and/or authorize necessary medical treatment without further authorization from me. I understand that medical expenses for injuries will not be paid by First Serve LLC.                                                                     *
Parent or Guardian Name
Cell Phone *
Email Address *
City of Residence
Emergency Contact Name
Emergency Contact Relationship to Participant
Emergency Contact Phone
Payment method
Send PayPal payments through Paypal.com to email chip.firstserve@gmail.com Mail check to First Serve, 348 Ridgemont, Grosse Pointe Farms, MI, 48236-3134
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy