Camp Registration Form

To book for a place in the camp, please complete the form below accurately and press submit.

Tennis Player's name *

First

Middle

Last

Gender *

• Male
• Female

Camper's date of birth *

Primary Addres *

Kindly give your current Physical address If you have multiple address give the one that your mail goes to

Tel. Numbers (H), (C), (W) *

Email *

Email

Confirm Email

Please list any Allergies or Special Instructions for your Child/Ward

Parent/Guardian Name

First

Last

Parent/Guardian Email

Parent/Guardian Phone

List any emergency number if other than the above

Permission & Agreement *

• I agree and give my permission

I give the player stated here permission to be enrolled in this tennis Camp pursuant to all the terms and regulations that apply.

By Clicking, I agree to the following Camp charge per camper which must be paid before the Sign-In Date. Further, I accept and will be guided by all Policies governing the Camp. *

• Camp Registration Fee – $100.00

MO-Banking or Direct Deposit Amount – Kindly Contact Treasurer for Account and other pertinent Details.

For any question and or queries about the tournament etc., please contact the following: Watkins Chiverton @ 663-5930/wchiverton@yahoo.com or Jonah Caines @664-1244 | to make payment in person contact Neil Owen @662-2187 / neilowen@gmail.com.

Submit

by Clicking submit you CONSENT, RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY
In consideration for permission, granted now or in the future by St. Kitts and Nevis Tennis Association (SKNTA) and its Junior Development program (NJTL).

Further, I/We as the parent(s)/guardian(s) of the Participant agree and acknowledge that:

1. The Participant has met all the prerequisites required for participating during the Camp.
2. The Participant will abide by the rules and regulations imposed on the participant during the Camp.
3. There are risks and hazards inherent in the very nature of the Camp and that as a result of these risks and hazards, the participant, may suffer personal injury as well as property loss. I am aware and understand the risks and hazards associated with the Camp and may be present in the activity and that the Participant is assuming the risks and hazards at his or her own risk.
4. I waive any claim the Participant or I may have against the SKNTA and all instructors, coaches and organizers of the Camp and their respective heirs, representatives, successors and assigns from all claims, demands, costs, expenses, actions and causes of action arising from the Participant’s involvement in the Camp and agree to indemnify and hold harmless of the SKNTA for any claim, including any claim for medical services arising from the Participant’s involvement in the Camp.
5. The SKNTA may secure such medical advice and service as it, in its sole discretion, may deem necessary for the Participant’s health and safety and I shall be financially responsible for such advice and services. I understand that SKNTA do not provide accidental death, disability, dismemberment or medical expense insurance on behalf of the participants in the Summer Camp and therefore agree to assume responsibility for such insurance coverage for the Participant.
6. I agree that in the event that any provision of this Form is held to be invalid and unenforceable by any court of competent jurisdiction, the invalidity or unenforceability of such provision will not affect the remaining provisions of this Form, which shall continue to be enforceable.
7. This, CONSENT, RELEASE OF LIABILITY, WAIVER OF CLAIM, and ASSUMPTION OF RISK AND INDEMNITY is binding on the Participant and I, and our heirs, executors, administrators, personal representatives and assigns.
   WE HEREBY ACKNOWLEDGE READING, UNDERSTANDING AND AGREEING WITH THE FOREGOING.