fbpx
172 Buckskill Rd., East Hampton, NY 631.324.0297
Email header pic
SELECT YOUR CAMP:
  • [programs]
SELECT YOUR T-SHIRT SIZE:
  • [shirt-size]
STUDENT INFORMATION
First Name
Last Name
Birth Date (MM/DD/YY)
Gender:
  • [gender]
Age
Grade (rising)
PARENT/GUARDIAN INFORMATION
First Name
Last Name
Primary Phone
Secondary Phone
Email Address
Summer Address
City
State
ZIP Code
Mailing Address
City
State
ZIP Code
EMERGENCY CONTACT INFORMATION
First Name
Last Name
Primary Phone
Secondary Phone
Relationship to Camper
REGISTRATION INFORMATION

Please mark which weeks your child will be attending.

Relationship to Camper
  • [weeks]
Rate:
Rising Stars:
1-3 Weeks
  • [Weeks-1-3]
4-7 Weeks
  • [Weeks-4-7]
8+ Weeks
  • [Weeks-7-8]
5 Star Tennis and Shooting Stars:
  • [star-5]
ADD-ONS & DISCOUNTS
  • [add-ons]

*Maximum of two discounts per camper

PAYMENT INFORMATION
Transportation
  • VISA
  • Mastercard
  • AMEX
  • Discover
Credit Card#
Expiration Date
Security Code
Billing Zip Code
Name on Card
Check
Cash

As parent or guardian of the applicant, I hereby accept the condition of enrollment and give permission for my child to perticipate inHampton Racquet programs. Iagree to comply with all progrom regulations, and hereby remove camp site staff and management at Hampton RacquetFrom any and all liabillity for injury or damagers insurred while involved in this program. Hampton Racquet retains the right toany photographs or videotapes of the campers taken at camp to be used for publicity or advertising.

Signature
Date