21B Oak Branch Drive
Greensboro, NC 27407
ph: 336-299-6894
fax: 336-218-0888
piedmont
Summer Camp
Summer Camp Registration
Name ____________________________ Age _________ Birth Date ____________
Address _____________________________________________________________
Parent's Name _____________________________ Home Phone ________________
Cell Phone ___________________________ Work Phone ______________________
Email _____________________________________________________________
Liability Waiver
By submitting this form, I represent that my child is physically able to undertake all activities and exercises provided by Piedmont Indoor Tennis. I hereby release, waive Piedmont Indoor Tennis and its officers and employees on behalf of myself from all claims, demands or other actions connected with the use of Piedmont Indoor Tennis.
Parent's Signature _____________________________________________________
Please choose the week Camp Pricing
June Half Day 9AM - 12:30 Full Day 9AM - 4:30
15 - 19 ________ One Week $180 $320
22- 26 _________ Two Weeks $350 $600
June/July Three Weeks $500 $880
29-3 __________ Four Weeks $640 $1,120
July
6-10 ___________
13-17 ___________
20-24 __________
27-31 __________
August
3-7 ___________ Deposit $150.00 Redmainder due the first
10-14 ___________ day of camp. Full day camp bring bag lunch.
PIEDMONT INDOOR TENNIS Summer Tennis Camp Ages 5 & up – all levels
For information call (336) 299-6894 or Stop by to pick up a brochure
21B Oak Branch Drive
|
|
|
|
|
|
|
|
Copyright ACK Enterprises, Inc. All rights reserved.
21B Oak Branch Drive
Greensboro, NC 27407
ph: 336-299-6894
fax: 336-218-0888
piedmont
