Parent or Legal Guardian's Name
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First Name
Last Name
Parent Email Address:
Cell Phone
*
(###)
###
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Camper 1: Name
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First Name
Last Name
Camper 1: Date of Birth (MM/DD/YYYY)
*
Camper 1: Address (Street), City, State, Zip
*
Please select the week(s) CAMPER 1 is interested in attending:
2nd Camper's Name (if applicable)
First Name
Last Name
Camper 1: Date of Birth (MM/DD/YYYY)
Please select the week(s) CAMPER 2 is interested in attending:
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Emergency Contact Cell Phone
(###)
###
####
*
Authorized Pickup Cell Phone
(###)
###
####
Would you like to reserve 12-12:30pm aftercare for an additional $15/child per day?
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Select one
YES
NO
Special Needs Camper 1
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Please provide additional detail or information with respect to any health (including allergies, medications, etc.) or other issues concerning the Player that the Club should be aware of:
Does this Player have any Mental, Social or Emotional Health Concerns outlined below?
Special Needs Camper 2
ADMINISTRATION OF MEDICATION
*
Please check one of the following:
OTHER
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CANCELATION/CHANGE POLICY: It is understood that there will be no refunds of camp fees in the event of absence or withdrawal of any participant for any reason whatsoever, regardless of illness, voluntary withdrawal or conduct deemed unsatisfactory by the club.
If you need to cancel your child's week, in order to receive an account credit (no refunds), you must notify us in writing more than 14 days in advance of the first day. All such cancelations will be subject to a $75 withdrawal fee. If you cancel within 14 days prior to the start, there will be no credits or refunds. If you need to change your child’s week, it must be done at least 14 days prior to the registered week (space permitting). All change requests must be submitted in writing (info@murrayhilltennis.com). For any changes or transfers there will be a $25 per transaction administrative fee.
RULES AND REGULATIONS:
I understand and will comply with Murray Hill Tennis & Fitness camp regulations, which are subject to
change. I acknowledge Murray Hill Tennis & Fitness reserves the right to remove campers from the
camp for conduct that is deemed detrimental to other campers, camp staff or property. Make up
sessions will not be given for missed sessions for any reason.
RELEASE OF PROMOTIONAL PHOTOS:
All camp images, pictures and/or videos may be used to advertise Murray Hill Tennis & Fitness. I fully
understand and voluntarily accept responsibility for and choose to allow my camper to participate in
summer camp at Murray Hill Tennis & Fitness. I hereby certify that I have read and understand this
agreement and accept the terms and conditions of this application.
EARLY BIRD DISCOUNT: Enroll by April 15, 2023 for 10% off.
PAYMENT: Payment is due in full at the time of registration. By submitting this form you are authorizing us to collect payment in full. If you have a credit card on file with us, no additional action is required. A receipt will be emailed to you once payment has been processed. If you do not have a card on file with us, or are unsure of your account status, please give us a call at (908)665-1141. Please note, your camper’s registration cannot be confirmed until payment has been processed.
Assumption of Risk and Covid Disclosure
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Any athletic or physical activity involves certain risk. The undersigned parent/legal guardian of Player assume the risk of any and all accidents or injuries of any kind, including death, that may be sustained by, or in connection with the facilities and release, hold the club harmless, discharge and absolve the club, its officers, owners, agents and employees, from any and all liability or responsibility in connection therewith. I understand that Murray Hill Tennis & Fitness is not responsible for any lost, stolen, or damaged valuables or property.
How did you hear about our camp?
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