SPRING BREAK HALF DAY CAMP REGISTRATION March 11-15, 2024 SPRING BREAK HALF DAY TENNIS CAMP Welcome to the Green Tree Spring Break Tennis Camp on line entry form. To enroll you child in our camps, please provide the information on the next pages. You must secure your camp reservation with a credit card. Step 1 of 4 - PARENT/GUARDIAN INFORMATION 25% Name* First Last Email* Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Day Phone*Night Phone*Cell PhoneClick this box if you are a member of Green Tree Tennis Yes How many of your children will be attending this program?*123456How many of your children will be attending this program?*123456Child 1Child 1* First Name Last Name Child 1 Birth Date* Child 1 School* Child 1 MedicalPlease check if child has medical problems and/or taking medication Yes Child 2Child 2* First Name Last Name Child 2 Birth Date* Child 2 School* Child 2 MedicalPlease check if child has medical problems and/or taking medication Yes Child 3Child 3* First Name Last Name Child 3 Birth Date* Child 3 School* Child 3 MedicalPlease check if child has medical problems and/or taking medication Yes Child 4Child 4* First Name Last Name Child 4 Birth Date* Child 4 School* Child 4 MedicalPlease check if child has medical problems and/or taking medication Yes Child 5Child 5* First Name Last Name Child 5 Birth Date* Child 5 School* Child 5 MedicalPlease check if child has medical problems and/or taking medication Yes Child 6Child 6* First Name Last Name Child 6 Birth Date* Child 6 School* Child 6 MedicalPlease check if child has medical problems and/or taking medication Yes Sessions and PricingThe tennis camp runs 10 am – 2 pm Monday thru Friday and is for elementary, middle school, and high school players ages 6-16 yrs. old. The camp includes 20 hours of instruction, drilling, games, point & match play. This program will run from 10 a.m. to 2 p.m. Juniors are grouped by age and skill level. Elementary school players will learn tennis through USTA’s exciting play format **QuickStart!Spring Break Tennis Camp Price per child (member pricing)Spring Break Tennis Camp Price per child (non-member pricing)HiddenTotal for One ChildHiddenTotal for All Children Total for All Children Price: $0.00 Sibling Discount Price: $0.00 Total after Sibling DiscountProcessing Fee Price: $0.00 A non-refundable processing fee of $10/child is added to your registration.Total Camp Price $0.00 Waiver InformationRelease of Liability*By signing this Medical Release and Liability Form, I expressly warrant and assume all risks to the child named above participating in the activities, whether such risks are known or unknown to me at this time. I further release Green Tree Tennis Club, its owners, employees, staff, volunteers and agents from any claim that my child may have or that I may have against them as a result of injury or illness incurred during the course of participation in these activities. I further agree to indemnify and hold harmless Green Tree Tennis Club, its owners, employees, staff, volunteers and agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness of my child during such activities. I accept First Aid and Emergency Medical Treatment*I recognize that there may be occasions where the child named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of Green Tree Tennis Club to seek and secure any needed medical attention or treatment for the child named above including hospitalization, if in the agent’s opinion such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I accept Credit Card Charges*My credit card will be charged the above amount. I accept Credit Card Authorization*FOR VISA, MC, AMEX or Discover credit or debit cards: I authorize a representative of Green Tree Tennis Club to charge any unpaid tennis/sports camp, snack bar and/or early or late drop off balances for the child named above to my MC, VISA, AMEX or Discover credit or debit card. I have read and agree to all Green Tree FAQ/Policies, to include the club’s refund policies, regarding Junior Tennis Programs, Spring Break Camps, Summer Sports and Tennis Camps to include Combo and Summer Swim Lesson Programs. I Authorize Please complete the information below and press the button only once. Pressing the button multiple times will charge your credit card multiple times.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name