REGISTRATION FORM :: 2008 SMU TENNIS CAMP

NAME: __________________________________

ADDRESS: ____________________________________________________________________

CITY: ________________ STATE: ____ ZIP: ________ AGE: ________ SEX: _____

PARENT/GUARDIAN'S NAME: _____________________________________________

PARENT/GUARDIAN'S EMAIL: ____________________________________________

HOME PHONE: ________________WORK PHONE: __________________________

PLEASE CHECK SESSION ATTENDING:
____June 2-6
____June 9-13
____June 16-20
____June 23-27
____August 18-22

PLEASE CHECK TIME ATTENDING:
____AM+Lunch: 8:30 a.m.-1:30 p.m. :: $250
____ALL DAY :: $350
____PM Only: 1:30-4:30 p.m. :: $225

MAKE CHECKS PAYABLE TO:
Carl Neufeld
PO Box 750216
Dallas, TX 75275-0216

I, _____________________________, the parent/guardian of _____________________________, herby give permission to the SMU Tennis Camp to authorize medical care on the above name child. I also hereby waive and release SMU, the SMU Tennis Camp, and the staff of the SMU Tennis Camp from any responsibility for injuries and/or medical expenses incurred during the SMU Tennis Camp.

Special Medical Concerns: ______________________________________________________________________________

Parent/Guardian Signature:________________________________________

Date:________________________________________