REGISTRATION FORM
Name:
Age:
Date of Birth:
School:
Grade:
Gender:
Phone (H):
(W):
Other:
Home Address:
City/State/Zip:
Email Address:
In case of an emergency contact the following:
Name:
Name:
Number:
Number:
Relationship:
Relationship:
Does your child require special care or any disabilities?
Medical Information & Waiver Form
If yes, please specify:
If yes, please specify:
If yes, please specify:
If yes, please specify:
If yes, please specify:
Is your child currently taking any prescribed medication?
Does your child have an existing or previous illness?
Has your child been hospitalized in the past 12 months? 
Does your child have any known allergies to foods, insect stings or medications?
I, the undersigned parent, binding heirs, executors, administrators, estate and assigns, do hereby release and agree not to hold liable CTTA, its board, instructors, volunteers, or agents; from any and all actions causes of action, claims, demands, costs or damages as a result of property damages or personal injuries or death sustained by me or my said child or his/her or my property. CTTA is not liable for me or my child or his/her property resulting in injury or harm while participanting in CTTA clinics, activities, and events or traveling to or from the place at which such activity will be conducted.
-- Consent is hereby given for the applicant to participant in CTTA's clinics, activities, and events and permission is given for any emergency medical treatment, operation, or anesthesia, which might become necessary. I agree to be responsible for the expense of medical treatment of service.
Physician Name:
Physician's Telephone:
-- Consent is hereby given for the applicant to participant in CTTA's clinics, activities, and events but permission is NOT given for any emergency medical treatment, operation, or anesthesia, which might become necessary. I DO NOT agree to be responsible for the expense of medical treatment of service.
Additional Information or Phone
Central Texas Tennis Association
Attn: Sarah Pernell
PO Box 151014
Austin, Texas 78715
(512) 280-5800
* CTTA is a 501 (c) (3) non-profit, tax-exempt organization.
Please print a copy for your records before submitting.
Team Tennis Teams (2/12 - 4/29)
© Copyright 2006-2012. All rights reserved. Central Texas Tennis Association
For more information, contact CTTA at (512) 280-5800
Junior and Adult
Group & Private lessons provided
Monday - Sunday
Call (512) 466-6556
for fees and available times/locations
* Lessons provided by Certified Instructor
8 & under quickstart - 36 ft. court red ball
10 & under 60 ft. ct, orange ball
10 & under 78 ft.ct., green ball
12 & under beginner green ball full court
14 & 18 under beginner
14 & 18 under Intermediate
14 & 18 under Advanced
