SKNTA’s Junior Tennis Initiative Registration

Tennis Player's name *

First

Middle

Last

Gender *

Male
Female

Child'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 *

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 Junior tennis program pursuant to all the terms and regulations that apply.

By Clicking, I agree to the following registration charge per player which must be paid at Sign-In. Further, I accept and will be guided by all Policies including the Code of Conduct for the program *

JTI Registration & Monthly Fee – $90.00

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.