Wagner Tennis Academy Summer 2021 Digital Registration Form and Waiver

Parent First and Last Name

Player Name

Date of Birth

YYYY

Address

Contact Phone Number

Emergency Contact Name

Emergency Contact Phone Number

Please select which weeks your player will be attending summer academy.

Please choose all the weeks that your player will be in attendance even if you are doing the unlimited plan.

JUNE 14 - 17

JUNE 21-24

JUNE 28 - JULY 1

JULY 6 - 9 ( No academy on July 5th. The academy will run Tuesday - Friday.)

JULY 12 -15

JULY 19 - 22

JULY 26 - 29

AUG 2 - 5

AUG 9 - 12

AUG 16 - 19

AUG 23 - 26

If your player is NOT attending a full week (Monday - Thursday) please list which week and the specific day/s that they WILL be attending.

Digital Health, Liability and Media Waiver and Electronic Signature

I agree to this Health, Liability, and Media Waiver and Electronic Signature. All participants are required to have a completed waiver before attending summer academy.

Participant Signature

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