Form Center

2. Tennis Center 2023 Summer Junior Clinics

   (Cost is per day - save 10% on 10 days or more)

   Registration is due prior to the first class.  Payment can be made online or at the front desk.  For any questions about clinic registration or schedules, contact Mike Schuster at the Tennis Center at 724-941-1330, by cell at 734-545-0034, or by email at mschuster@peterstownship.com.

4. Level	Days/Times	Cost per Day
   Beginner 3-5 years	Thursday 6pm-6:30 pm Monday 10:30am-11am	Resident - $9 Non-resident - $10
   Beginner 6-8 years	Sunday 3pm-4pm Tuesday 6pm-7pm Thursday 6pm-7pm	Resident - $18 Non-resident - $20
   Beginner 9-12 years	Sunday 4pm-5pm Tuesday 6pm-7pm Friday 6pm-7pm	Resident - $18 Non-resident - $20
   Beginner Teen	Wednesday 3pm-4:30pm	Resident - $27 Non-resident - $30
   Intermediate Teen	Wednesday 3pm-4:30pm	Resident - $27 Non-resident - $30
   Intermediate 8-12 years Level 1 (Orange Ball)	Tuesday 4pm-6pm Friday 4pm-6pm	Resident - $36 Non-resident - $40
   Intermediate 8-12 years Level 2 (Green Ball)	Tuesday 4pm-6pm Friday 4pm-6pm	Resident - $36 Non-resident - $40
   Tournament Training	Monday 1pm-3pm Wednesday 1pm-3pm	Resident - $36 Non-resident - $40
   High Performance	Monday 1pm-3pm Thursday 1pm-3pm	Resident - $36 Non-resident - $40

8. Parent Name*
9. Child Name*
11. Parent Birthday*
12. Child Birthday*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Home Phone*
21. Cell Phone*
23. Parent Email Address*
27. Select the program & mark the dates your child will attend
29. Program*
    -- Select One --Beginner 3-5 yearsBeginner 6-8 yearsBeginner 9-12 yearsBeginner TeenIntermediate TeenIntermediate 8-12 years: Level 1Intermediate 8-12 years: Level 2Tournament TrainingHigh Performance
31. Week 1

    6/12 - 6/18

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
32. Week 2

    6/19 - 6/25

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
33. Week 3

    6/26 - 7/2

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sat
35. Week 4

    7/3 - 7/9
    OFF on 7/4

    1. Mon
    2. Wed
    3. Thurs
    4. Fri
    5. Sun
36. Week 5

    7/10 - 7/16

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
37. Week 6

    7/17 - 7/23

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
39. Week 7

    7/24 - 7/30

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
40. Week 8

    7/31 - 8/6

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
41. Week 9

    8/7 - 8/13

    1. Mon
    2. Tues
    3. Wed
    4. Thurs
    5. Fri
    6. Sun
43. Cost per day for your child's clinic(s)*
45. X
47. Total number of dates selected*
49. =
51. Amount Due*

    If selecting more than 10 days, enter amount with 10% discount

53. Does the participant need any special accommodations?*

    If Yes is selected, someone from the Tennis Center will reach out

    1. Yes

    1. No

57. By Signing, I hereby for myself, my heirs, executors, and administrators, waive and release any and all claims for damages I may have against Peters Township, The Peters Township Parks and Recreation Department, the area schools, and their respective agents, representatives, or employees for any and all injuries that might  be suffered by my child while in this program.

    I further acknowledge that Peters Township may wish to utilize photographs of its activities in which I or my children may be depicted for its promotional purposes and I hereby consent to the same on behalf of myself and my minor children.

    In case of emergency, it is our procedure to call 911.  If necessary, they dispatch an ambulance to respond to the emergency.  Parent/Guardians are immediately notified as soon as is practicable (usually prior to emergency assistance).  I understand that the program provides no medical coverage for participants.

    Full refunds will be given if requested more than 7 days before a class begins.  All refunds requested by participants less than 7 days before a class begins will be assessed a $5 processing fee.  No refunds will be issued after the second class of the session.  The Parks and Recreation Department reserves the right to cancel, combine, or change any aspect of a program it deems necessary.  Please allow 2-4 weeks for refunds to be processed.

59. Parent Signature*
60. Date*
    Date
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field