The Anguilla Tennis Academy

ATA Summer Programme Registration

First Name:*
Last Name:*
Age:*
Gender:*	Male Female
Address:*
T-Shirt Size:*	Youth S 6-8 Youth M 10-12 Youth L 14-16 Adult S Adult M Adult L Adult XL
Parent / Guardian Name:*
Home Phone #:
Work Phone #:
Cell Phone #:
Email Address:*

Method of Payment $40 USD (All 4 weeks) $60 USD (Late fee after June 20th) Cash and Checks Accepted only. Check: Payable to "Anguilla Tennis Academy" I confirm that my child’s health meets the physical standards for participating in the activities involved in the Tennis Camp. I understand that neither the Anguilla Tennis Academy or the coaches and staff of the camp will assume responsibility for accidents resulting from training during my child’s participation. I give my consent and approval for the Anguilla Tennis Academy, its Director, and staff to act on my behalf in securing medical attention for the above applicant from a licensed physician or hospital.