Junior Clinics sign up

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CHILD INFORMATION

Name:

Age

Sex

Male Female

Level

Beginner Intermediate Advanced

After School Clincs

Choose Program

Tennis Program 4pm-5pm
Tennis plus Sport of the Day Program 4pm-6pm

Choose Day

Monday Tuesday Wednesday Thursday Friday

Pick up at Sag Harbor Elementary School

Yes

BILLING INFORMATION

Credit Card #

First & Last Name (on credit card)

Billing address on credit card

City

Zip Code

State

Expiration Date (mmyy)

Phone:

Email:

Card Type

Visa Mastercard Discover Amex

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