Individual Reg.

Fill in the form below to register for the 2009 - 20010 After School Program.

SELECT THE SESSION YOU ARE INTERESTED IN: *

Player's Name: *

Player's Date of Birth (month/day/year): *

Parent's Name: *

Parent's Home Phone Number: *

Parent's Cell Phone Number: *

Email: *

Emergency Contact Name: *

Emergency Contact Number: *

Player Skill Level: *

Type of Class: *

Number of Classes Requested Per Week: *

Check here if you would like to supplement your class with a private or semi-private lesson:

Days Available (please check all that apply in order to provide you with the most options)

Monday:

I can start classes as early as:

I have to be done by:

Tuesday:

I can start classes as early as:

I have to be done by:

Wednesday:

I can start classes as early as:

I have to be done by:

Thursday:

I can start classes as early as:

I have to be done by:

Friday:

I can start classes as early as:

I have to be done by:

Saturday:

I can start classes as early as:

I have to be done by:

Additional Information/Comments:

Please check the box if you have read and understand all policies of BarbosaTennis regarding missed classes, rain-outs and payment. To review these policies, click here. *

Barbosa Tennis, Inc.

South Miami Programs offered at Dante Fascell Park