2011-2012 JUNIOR TOURNAMENT PREP CLINIC APPLICATION

Program Director: Richard Lipinski

Open Enrollment January 9, 2012

3^rd Session: *January 22 & 28 – March 18 & 24 2012*

(Dates reflect Saturday and Sunday 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) ____________________________________________________________

Current USTA New England Ranking Or General Ability Level: __________________________________

PLEASE ENROLL ME IN THE FOLLOWING CLINIC: (CIRCLE ONE)

VIII Advanced Clinic------------------------------------------------------ $310.00

(Saturday 4:00-6:00, intro to competitive tennis)

IX Junior Tournament Preparatory Clinic----------------------------- $310.00

(Sunday 12:00-2:00, beginner tournament players)

X Junior Tournament Training Clinic--------------------------------- $310.00

(Sunday 2:00-4:00, B & C level tournament players)

XI Junior Tournament Players Clinic----------------------------------- $310.00

(Sunday 4:00-6:00, A level tournament players)

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.

NO CLINIC’S ON FEB 19 & 25^th

WE ARE SORRY, NO REFUNDS OR MAKEUP’S FOR SESSIONS MISSED

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