Junior Program Winter C Payment

Winter C Junior Program Payment Form
Winter-C: October 23^rd 2023 - April 6^th 2024

Student's Name*

First Last

Age*

Please enter a number from 4 to 16.

Parent Information

Parent's Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Parent's Email Address*

Enter Email Confirm Email

Parent's Phone*

I am a Great Falls Swim & Tennis Club Member*

Yes
No

Winter-C Program: October 23rd - April 6th

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.

SELECT ACADEMY

Price:

SA Winter-C [NON-MEMBER]

Wed 6 - 7:30pm ~ SA ($1160) [NON-MEMBER]
Thurs 6 - 7:30pm ~ SA ($1050) [NON-MEMBER]
Fri 6:30 - 8pm ~ SA ($1050) [NON-MEMBER]
Sat 1 - 2:30pm ~ SA ($1110) [NON-MEMBER]

SA Winter-C [MEMBER]

Wed 6 - 7:30pm ~ SA ($990) [MEMBER]
Thurs 6 - 7:30pm ~ SA ($900) [MEMBER]
Fri 6:30 - 8pm ~ SA ($900) [MEMBER]
Sat 1 - 2:30pm ~ SA ($950) [MEMBER]

Total Fees

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Season

Winter: October 2023 - March 2024

Medical Authorization & Release

Student Name*

First Last

Student 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 class 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 the 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. Cancel prior to 1st class: pay for 1 class. Cancel after 1st class: pay for 1 class plus $75 replacement fee. Cancel after 2nd class: pay for 2 classes plus $100 replacement fee. Plus credit card fees. No refunds after 3rd week. Medical reasons will be accepted with a doctor’s note.

Permission for Photo Use*

Yes
No

I give permission for photos of my child participating in Pass Academy programs 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)

Winter C Junior Academy Payment

On-line Payment for the Pass Academy Winter C Junior Academy at Great Falls Swim & Tennis Club

Winter C Junior Program Payment Form
Winter-C: October 23^rd 2023 - April 6^th 2024

Parent Information

Winter-C Program: October 23rd - April 6th

Select Academy

Medical Authorization & Release

Winter C Junior Academy Payment

On-line Payment for the Pass Academy Winter C Junior Academy at Great Falls Swim & Tennis Club

Winter C Junior Program Payment FormWinter-C: October 23rd 2023 - April 6th 2024

Parent Information

Winter-C Program: October 23rd - April 6th

Select Academy

Medical Authorization & Release

Winter C Junior Program Payment Form
Winter-C: October 23^rd 2023 - April 6^th 2024