Parent or Legal Guardian's Name *

First Name

Last Name

Cell *

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Camper 1: Name *

First Name

Last Name

2nd Camper's Name (if applicable)

First Name

Last Name

Emergency Contact Cell *

(###)

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Authorized Pickup Cell *

(###)

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Special Needs: Camper 1 *

Please provide additional detail or information with respect to any health (including allergies, medications, etc.) or other issues concerning the Player that the Club should be aware of: Does this Player have any Mental, Social or Emotional Health Concerns outlined below?

NO mental, social or emotional concerns

Diagnosed with ADD or ADHD

Psychiatric (Depression, OCD, Panic/Anxiety)

Has a learning challenge (Disability)

Has seen or is currently seeing a professional

Had a significant life event occur, stress inducing

Other mental, social or emotional health concern

Special Needs: Camper 2

NO mental, social or emotional concerns

Diagnosed with ADD or ADHD

Psychiatric (Depression, OCD, Panic/Anxiety)

Has a learning challenge (Disability)

Has seen or is currently seeing a professional

Other mental, social or emotional health concern

Administration of Medication *

Please check one of the following

I DO NOT allow Murray Hill Tennis & Fitness to administer over the counter and/or prescription medications to camper(s).

I DO allow Murray Hill Tennis & Fitness to administer over the counter and/or prescription medications to camper(s).

Cancelation/Change Policy: *

It is understood that there will be no refunds of camp fees in the event of absence or withdrawal of any participant for any reason whatsoever, regardless of illness, voluntary withdrawal or conduct deemed unsatisfactory by the club. If you need to cancel your child's week of camp, in order to receive an account credit (no refunds), you must notify us in writing more than 14 days in advance of the first day. All such cancelations will be subject to a $75 withdrawal fee. If you cancel within 14 days prior to the start, there will be no credits or refunds. If you need to change your child’s week of camp, it must be done at least 14 days prior to the registered week of camp (space permitting). All change requests must be submitted in writing (info@murrayhilltennis.com). For any changes or transfers there will be a $25 per transaction administrative fee. EARLY BIRD DISCOUNT: Enroll and pay in full by April 15, 2024 for 10% off.

I have read and agree to the above.

Acknowledgement of Cancelation/Change Policy: *

By checking this box, I accept and agree to the Cancelation/Change Policy.

Rules and Regulations:

I understand and will comply with Murray Hill Tennis & Fitness camp regulations, which are subject to change. I acknowledge Murray Hill Tennis & Fitness reserves the right to remove campers from the camp for conduct that is deemed detrimental to other campers, camp staff or property. Make up sessions will not be given for missed sessions for any reason. All camp images, pictures and/or videos may be used to advertise Murray Hill Tennis & Fitness.

I have read and agree to the above.

Assumption of Risk: *

Any athletic or physical activity involves certain risk. The undersigned parent/legal guardian of Player assume the risk of any and all accidents or injuries of any kind, including death, that may be sustained by, or in connection with the facilities and release, hold the club harmless, discharge and absolve the club, its officers, owners, agents and employees, from any and all liability or responsibility in connection therewith. I understand that Murray Hill Tennis & Fitness is not responsible for any lost, stolen, or damaged valuables or property.

I/we have read this assumption of risk and waiver of liability, fully understand its terms, understand that I/we have given up material rights by agreeing to it and agree to it freely and voluntarily without any inducement.

Payments:

Payment is due in full at the time of registration. By submitting this form you are authorizing us to collect payment in full. If you have a credit card on file with us, no additional action is required. A receipt will be emailed to you once payment has been processed. If you do not have a card on file with us, or are unsure of your account status, please give us a call at (908)665-1141. Please note, your camper’s registration cannot be confirmed until payment has been processed.

I have read and agree to the above

Payment Authorization: *

By checking this box, I give my authorization to collect camp payment in full using my card on file. (Our front desk team will contact you to collect payment if you do not have a credit card on file.