CHANCELLORS JUNIOR TENNIS ACADEMY PROGRAMS King Daddy Tennis Academy by TSG – FALL 2014 Registration Form Player Name _________________________________________________ Player’s Age____________ Address ____________________________________________________________________________ ___________________________________________________________________________________ Parent(s) Name ______________________________________________________________________ Parent Primary Contact Phone #_________________________________________________________ Parent Primary Contact Email ___________________________________________________________ Check Class Registering For: Developmental Programs _____Tiny Stars (ages 3-5) _____Future Stars I (ages 6-8) _____Qualifiers I (ages 11-14) _____Saturday Camp (ages 6-16) _____Future Stars II (ages 9-10) Check # of Day(s) Player Will Attend: _____1 Day a Week (Circle One) Tuesday Thursday _____2 Days a Week Tournament Training Programs _____ZAT “Green Ball” Tourney Training _____ZAT Tournament Training _____Champs Tournament Training _____Supers Tournament Training Formal training days must be stated at time of registration. We have limited space for each class. Please DO NOT drop in on another day without permission from the desk staff as our class may already be full. Circle Class Day(s) Player Will Attend According To Available Class Options: Monday Tuesday Wednesday Thursday Friday Saturday Circle Session(s) Player Will Attend: Session I Session II Session III Session IV ------------------------------------------------------------------------------------------------------------------------------------------- Credit Card Authorization Form The credit card will be automatically charged on the 1st day of each cycle for all fees due. The fees can include junior tennis academy fees, private lessons, pro shop, or any other charges to the account. All fees are due in advance and are charged for the upcoming cycle. Name of Cardholder: ___________________________Signature: _______________________________ Credit Card Type: VISA MC DISC Credit Card #:________________________________________ Exp. Date: __________________________ Security Code (back of card): _________________________ Billing Address for card: ________________________________________________________________ ______________________________________________________________Zip Code: ______________