Please provide the following contact information:

Parents Name
Child's Name
Phone Number
Cell Phone
E-mail

Choose any of the following camps:

June 9-13
June 16-20
June 23-27
July 7-11
July 14-18
July 21-25
July 28-August 1
August 4-8
August 11-15
August 18-22
All the above

Choose one of the following options:

Novice
Beginner
Intermediate
Advanced

Medical Attention we should be aware of ?

Doctor's Phone Number?

* I hereby give Winners Tennis Club permission to see that the above listed child receives treatment in an emergency.

Make checks payable to "Winners Tennis Club" and mail to P.O. box 1327, Solana Beach, CA 92075