2011-2012 JUNIOR DEVELOPMENTAL CLINIC APPLICATION
Program Director: James DiPanfilo
Open Enrollment for this session will be accepted starting Monday
January 9, 2012
Space is first
come, first served basis.
3rd Session: *January 18,
19, 20 – March 14, 15, 16*
(Dates reflect Wednesday, Thursday and Friday start and end dates)
FULL PAYMENT MUST ACCOMPANY
APPLICATION DATE: _______________
NAME: _______________________________________________ BIRTHDATE:
______________
ADDRESS: ____________________________________________ TELEPHONE:
________________
(Street)
TOWN:
_______________________________________________________ SEX:
M F
(Zip code)
E-mail address: (neatly please) ____________________________________________________________
General Ability Level:
_________________________________________________
PLEASE ENROLL ME IN THE FOLLOWING CLINIC: (CIRCLE ONE)
I.
Junior
Development Program----------------------------------------------------------- $180.00
(Wednesday 3:30-4:30,
beginner to low intermediate, 5-8 yrs.)
II.
Junior
Development Program-------------------------------------------------------------------------- $180.00
(Wednesday
4:30-5:30, beginner to low intermediate, 9-13 yrs.)
III.
Junior
Development Program-------------------------------------------------------------------------- $180.00
(Thursday 4:00-5:00, beginner
to low intermediate, 7-10 yrs.)
IV.
Rookie Rackets-------------------------------------------------------------------------------------------- $115.00
(Friday 3:00-3:30, beginner,
3-4 yrs.)
V.
Junior
Development Program-------------------------------------------------------------------------- $180.00
(Friday
3:30-4:30, beginner to low intermediate, 5-6 yrs.)
VI.
Junior
Development Program-------------------------------------------------------------------------- $180.00
(Friday
4:30-5:30, beginner to low intermediate, 7-9 yrs.)
VII. Junior Development Clinic------------------------------------------------------------------------ $180.00
(Friday
5:30-6:30, advanced beginner to intermediate, 9-16 yrs.)
CHECKS MUST ACCOMPANY
APPLICATIONS FOR CLINICS TO ENSURE PLACEMENT. REFUNDS ARE SUBJECT TO A $35.00 PROCESSING FEE. PLEASE CIRCLE THE CLASS YOU WISH TO ENTER.
**WE
ARE SORRY, NO REFUNDS OR MAKEUP’S FOR SESSIONS MISSED**
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