Summer Select Academy Program Registration

2024 Summer Select Program Registration Form
Match Play, Drilling, Strategy
(3 - 5pm)

Summer Select Academy

During this class, players will be trained through live & dead ball drilling, tactics & strategy, and competitive play. Players should be able to achieve a 15 ball rally, make their serves and enjoy competition. This is an invitation only class, meaning you have to be approved by the Director of Tennis, Steve Miguel or the Head Tennis Professional, Alan Graves.

Student's Name*

First Last

Age*

Please enter a number from 11 to 18.

Parent Information

Parent's Name*

First Last

Address*

Street Address City State ZIP Code

Parent's Email Address*

Enter Email Confirm Email

Home Phone*

Parent's Mobile Phone

Parent's Office Phone

I am a Great Falls Swim & Tennis Member*

Yes
No

Select Academy Weeks

Week 1n: June 10 - 13 [Mbr]

Summer Select Pgm (Wk1) $205 [MEMBER]
Nothing/Clear

Week 1n: June 10 - 13 [NMbr]

Summer Select Pgm (Wk1) $240 [NON-MEMBER]
Nothing/Clear

Week 2n: June 17 - 20 [Mbr]

Summer Select Pgm (Wk2) $205 [MEMBER]
Nothing/Clear

Week 2n: June 17 - 20 [NMbr]

Summer Select Pgm (Wk2) $240 [NON-MEMBER]
Nothing/Clear

Week 3n: June 24 - 27 [Mbr]

Summer Select Pgm (Wk3) $205 [MEMBER]
Nothing/Clear

Week 3n: June 24 - 27 [NMbr]

Summer Select Pgm (Wk3) $240 [NON-MEMBER]
Nothing/Clear

Week 4n: July 1 - 5 [Mbr] (no 4th)

Summer Select Pgm (Wk3) $205 [MEMBER]
Nothing/Clear

Week 4n: July 1 - 5 [NMbr] (no 4th)

Summer Select Pgm (Wk3) $240 [NON-MEMBER]
Nothing/Clear

Week 5n: July 8 - 11 [Mbr]

Summer Select Pgm (Wk5) $205 [MEMBER]
Nothing/Clear

Week 5n: July 8 - 11 [NMbr]

Summer Select Pgm (Wk5) $240 [NON-MEMBER]
Nothing/Clear

Week 6n: July 15 - 18 [Mbr]

Summer Select Pgm (Wk6) $205 [MEMBER]
Nothing/Clear

Week 6n: July 15 - 18 [NMbr]

Summer Select Pgm (Wk6) $240 [NON-MEMBER]
Nothing/Clear

Week 7n: July 22 - 25 [Mbr]

Summer Select Pgm (Wk6) $205 [MEMBER]
Nothing/Clear

Week 7n: July 22 - 25 [NMbr]

Summer Select Pgm (Wk6) $240 [NON-MEMBER]
Nothing/Clear

Week 8n: July 29 - Aug 1 [Mbr]

Summer Select Pgm (Wk8) $205 [MEMBER]
Nothing/Clear

Week 8n: July 29 - Aug 1 [NMbr]

Summer Select Pgm (Wk8) $240 [NON-MEMBER]
Nothing/Clear

Week 9n: Aug 5 - 8 [Mbr]

Summer Select Pgm (Wk9) $205 [MEMBER]
Nothing/Clear

Week 9n: Aug 5 - 8 [NMbr]

Summer Select Pgm (Wk9) $240 [NON-MEMBER]
Nothing/Clear

Week 10n: Aug 12 - 15 [Mbr]

Summer Select Pgm (Wk9) $205 [MEMBER]
Nothing/Clear

Week 10n: Aug 12 - 15 [NMbr]

Summer Select Pgm (Wk9) $240 [NON-MEMBER]
Nothing/Clear

Select Academy Drop In Days

Number of Drop In Days ($50 per day) [Member]

Price: $50.00

3 - 5pm

Number of Drop In Days ($55 per day) [Non-Member]

Price: $55.00

3 - 5pm

Drop In Dates (s)

Enter the desired date(s).

Total Fees

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Session

Summer: June 10th - August 12th 2024

Medical Authorization & Release

Camper Name*

First Last

Camper Condition*

By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first camp session.

Date of Medical Authorization*

By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.

Date of Parent Release*

By dating above, I agree to hold Pass Academy and Great Falls Swim & Tennis Club harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.

Cancellation Policy*

By checking this box I accept the following policy. All refunds are subject to fee charges of 6%.

Permission for Photo Use*

Yes
No

I give permission for photos of my child participating in Pass Academy to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.

Additional Information (optional)