2012 SUMMER JUNIOR TENNIS CAMPS - Ages 10-17
SUMMER CAMP 2012
Flushing Meadows Corona Park, Flushing, NY 11368 (718) 760-6200 www.ntc.usta.com
Junior Tennis Camps – Ages 10 - 17 7 Weekly Sessions from June 18-August 3, 2012 Our Indoor/outdoor Junior Tennis Camps provide group instruction to youngsters between the ages of 10-17 at all levels of play. Areas of emphasis include: Technique, Tactics and Strategy, Fitness and most of all - FUN. Continuing this year will be the addition of cross-training as we introduce campers to soccer, softball, and other sports that will enhance the learning and camp experience. A separate registration is required for off-site fieldtrips to the Flushing Meadows Corona Park pool and other nearby venues. Separate form.
Beginner through Advanced Players Age appropriate formats – Quickstart & “Play-Based” “Stroke of the Day” and Cardio Tennis Level-appropriate “Team Games” and/or Competitive Match Play *Lunch break at 12 noon daily (bring lunch or purchase from food concession) 2012 SUMMER JUNIOR TENNIS CAMPS - Ages 10-17 (June 18-August 3, 2012. No camp on Wednesday, July 4)
First Name____________________ Last Name ___________________________Age_______ Birth Date _______________ Male / Female ________________________________________________________________________________________________________________ Street Address
Apt. #
City
State
Zip
Parent’s E-Mail address________________________ Parent’s Name______________ Home Phone __________ Business/Cell Phone _____________ *A signed “Consent and Waiver Form” is required to participate in our camps. Complete the reverse side of this form. Mail the form if you register on line.
Please select appropriate level: Red (Beginner) ______ Green (Adv. Beginner) ______ Blue (Low Intermediate) ______ Bronze (Intermediate) ______ Silver (Adv. Intermediate/Tournament. Prep) ______ Gold (Advanced/Tournament Training) ______ Evaluations are conducted the first day of each camp session for group placement.
Please desired sessions and enclose full payment: Monday – Friday
8:30 AM – 5:30 PM
4:30 PM – 7:00 PM
Week 1 June 18-22
$350
$165
Week 2 June 25-29
$350
$165
Week 3 July 2,3,5,6 (4 days) $280
$135
Week 4 July 9-13
$350
$165
Week 5 July 16-20
$350
$165
Week 6 July 23-27
$350
$165
Week 7 July 30-Aug.3
$350
$165
Participant acknowledges the physical dangers and risks inherent in playing tennis and Participant freely and knowingly assumes all such risks. Participant releases, discharges and holds harmless the USTA NTC and the City of New York from and against any and all claims resulting from Participant’s participation in the program or any event related thereto, including claims such as negligent acts or omissions of USTA NTC. Participant agrees that USTA NTC and its designees may use Participant’s name, voice, portrait, likeness, testimonials and statements for any purpose relating to USTA NTC activities and advertising and publicizing the USTA NTC and its products and services; provided, however, the use of Participant’s identification shall not be identified or represented to be an endorsement by Participant of any product, service or company.
_______________________________________________Date:_____________ Signature of Participant (or Legal Guardian if participant is under 18)
Amount Enclosed_____ Cash (In person only) Check #______VISA
MC AMEX Discover _______________________________ ___________ CARD NUMBER
Exp. Date
_______________________________________________________ CARDMEMBER NAME (PRINTED)
_________________________________________________ CARDMEMBER SIGNATURE
Date
No Refunds for cancellations received less than 1 week before session’s start date. All individual cancellations/changes will incur a $25 administrative fee. Checks returned by the bank will incur a $30 fee and must be replaced with cash or money order. Make checks payable to USTA National Tennis Center. Sorry no make-ups. Mail to: USTA BJK National Tennis Center; Attn: 2012 Junior Camps; Flushing Meadows Corona Park; Flushing, New York 11368
Game. Set. Match.
Play Where Legends Are Made www.ntc.usta.com
CONSENT AND WAIVER FORM I, the below-named participant in a USTA National Tennis Center program, recognize that physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the care taken to avoid injuries; that although activities may not be strenuous, injuries or medical complications may occur; that balance and physical coordination may affect the occurrence of accidents or falls; that I should ask about other potential hazards and recommended precautions; and that, in addition to physical activity, I may be subjected to risks associated with traveling in vehicles. I knowingly assume all risks associated with my participation in the program. I understand that I may participate in field trips away from the USTA Billie Jean King National Tennis Center throughout the duration of the program. I further understand that I will be adequately supervised and that field trips to off-site locations may occur on a daily basis. I also understand that I (or my parent/legal guardian) may revoke permission for a specific field trip by written notice hand-delivered to the NTC’s Director of Tennis Programs at least one day before the trip. I hereby authorize any medical treatment deemed necessary in the event of any injury to me while participating in any activity. I have appropriate insurance, or, if not, I agree to pay all costs of medical services incurred on my behalf. As a condition of my participation in the program, I hereby grant the USTA National Tennis Center Incorporated (the “NTC”) and its designees the right in perpetuity, for the purpose of the promotion and/or the advertising of the program, the NTC, NTC programs or any events in which I participate, to use my name, photograph, likeness, biography, voice or other identification, in print, film, radio, television, Internet and/or any and all other media now known or hereafter devised and in all other publicity and promotional materials and media, including the right to use and/or sublicense such right to use the same on event posters, programs, merchandise and other materials. The NTC and its designees shall have the right in perpetuity, without additional compensation payable to me, to make, use, show and/or license for any and all purposes, in a commercial and/or non-commercial manner, still pictures and motion pictures/recordings taken of me during the program or otherwise in any and all media known or hereafter devised, including, without limitation, print, film, radio, television and the Internet. As a further condition of my participation in the program, and to the maximum extent permitted by law, I, on behalf of myself and my executors, administrators, heirs, personal representatives, successors and assigns, release, waive, hold harmless and discharge the NTC, United States Tennis Association Incorporated (“USTA”), the City of New York (the “City”) and others in any manner connected with any such program, event and/or other related activities, including, without limitation, the employees, officers, directors, agents and representatives of the NTC, USTA and City (the “Released Parties”), from any and all claims and demands of every kind, nature and character for any losses, injuries or damages that I may sustain, directly or indirectly, arising out of or related to traveling to or from or participating in any program, event and/or any other related activities on any legal theory whatsoever, regardless of whether caused by the negligence of the Released Parties (the “Released Claims”). To the maximum extent permitted by law, I hereby covenant and agree that I will not bring or be a party to any legal action or claim against the Released Parties for any reason based on any of the Released Claims. I agree to indemnify and hold harmless each of the Released Parties from any and all liabilities, claims, actions, damages, expenses, losses and costs of any kind (including, without limitation, attorneys’ fees and costs) caused by or arising out of my participation in any program, event and/or related activities, including, without limitation, my breach of any provision of this Consent and Wavier and any damages caused by me. I and NTC irrevocably submit to the exclusive jurisdiction of the federal or state courts in Westchester County, New York in the event of any dispute, claim or action. I HAVE READ THIS CONSENT AND WAIVER FORM, FULLY UNDERSTAND ITS TERMS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Participant Signature: __________________________________________________
Date: _____________________
Print Name: __________________________________ IF PARTICIPANT IS UNDER 18 YEARS OF AGE: I represent and warrant that I am the parent or legal guardian of the above-named participant (the “Minor”) and that I have read and understood the foregoing Consent and Waiver. I fully consent to and voluntarily authorize the Minor to execute said Consent and Waiver. I acknowledge and agree that all representations, consents, agreements, grants, waivers, authorizations, indemnifications and releases herein shall be regarded as made by me on behalf of the Minor and shall be binding on me and the Minor.
Parent/Legal Guardian Signature: ________________________________________ Print Name: __________________________________________________
Date: _____________________
Flushing Meadows Corona Park, Flushing, NY 11368 (718) 760-6200 www.ntc.usta.com
Junior Tennis Camps – Ages 10 - 17 7 Weekly Sessions from June 18-August 3, 2012 Our Indoor/outdoor Junior Tennis Camps provide group instruction to youngsters between the ages of 10-17 at all levels of play. Areas of emphasis include: Technique, Tactics and Strategy, Fitness and most of all - FUN. Continuing this year will be the addition of cross-training as we introduce campers to soccer, softball, and other sports that will enhance the learning and camp experience. A separate registration is required for off-site fieldtrips to the Flushing Meadows Corona Park pool and other nearby venues. Separate form.
Beginner through Advanced Players Age appropriate formats – Quickstart & “Play-Based” “Stroke of the Day” and Cardio Tennis Level-appropriate “Team Games” and/or Competitive Match Play *Lunch break at 12 noon daily (bring lunch or purchase from food concession) 2012 SUMMER JUNIOR TENNIS CAMPS - Ages 10-17 (June 18-August 3, 2012. No camp on Wednesday, July 4)
First Name____________________ Last Name ___________________________Age_______ Birth Date _______________ Male / Female ________________________________________________________________________________________________________________ Street Address
Apt. #
City
State
Zip
Parent’s E-Mail address________________________ Parent’s Name______________ Home Phone __________ Business/Cell Phone _____________ *A signed “Consent and Waiver Form” is required to participate in our camps. Complete the reverse side of this form. Mail the form if you register on line.
Please select appropriate level: Red (Beginner) ______ Green (Adv. Beginner) ______ Blue (Low Intermediate) ______ Bronze (Intermediate) ______ Silver (Adv. Intermediate/Tournament. Prep) ______ Gold (Advanced/Tournament Training) ______ Evaluations are conducted the first day of each camp session for group placement.
Please desired sessions and enclose full payment: Monday – Friday
8:30 AM – 5:30 PM
4:30 PM – 7:00 PM
Week 1 June 18-22
$350
$165
Week 2 June 25-29
$350
$165
Week 3 July 2,3,5,6 (4 days) $280
$135
Week 4 July 9-13
$350
$165
Week 5 July 16-20
$350
$165
Week 6 July 23-27
$350
$165
Week 7 July 30-Aug.3
$350
$165
Participant acknowledges the physical dangers and risks inherent in playing tennis and Participant freely and knowingly assumes all such risks. Participant releases, discharges and holds harmless the USTA NTC and the City of New York from and against any and all claims resulting from Participant’s participation in the program or any event related thereto, including claims such as negligent acts or omissions of USTA NTC. Participant agrees that USTA NTC and its designees may use Participant’s name, voice, portrait, likeness, testimonials and statements for any purpose relating to USTA NTC activities and advertising and publicizing the USTA NTC and its products and services; provided, however, the use of Participant’s identification shall not be identified or represented to be an endorsement by Participant of any product, service or company.
_______________________________________________Date:_____________ Signature of Participant (or Legal Guardian if participant is under 18)
Amount Enclosed_____ Cash (In person only) Check #______VISA
MC AMEX Discover _______________________________ ___________ CARD NUMBER
Exp. Date
_______________________________________________________ CARDMEMBER NAME (PRINTED)
_________________________________________________ CARDMEMBER SIGNATURE
Date
No Refunds for cancellations received less than 1 week before session’s start date. All individual cancellations/changes will incur a $25 administrative fee. Checks returned by the bank will incur a $30 fee and must be replaced with cash or money order. Make checks payable to USTA National Tennis Center. Sorry no make-ups. Mail to: USTA BJK National Tennis Center; Attn: 2012 Junior Camps; Flushing Meadows Corona Park; Flushing, New York 11368
Game. Set. Match.
Play Where Legends Are Made www.ntc.usta.com
CONSENT AND WAIVER FORM I, the below-named participant in a USTA National Tennis Center program, recognize that physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the care taken to avoid injuries; that although activities may not be strenuous, injuries or medical complications may occur; that balance and physical coordination may affect the occurrence of accidents or falls; that I should ask about other potential hazards and recommended precautions; and that, in addition to physical activity, I may be subjected to risks associated with traveling in vehicles. I knowingly assume all risks associated with my participation in the program. I understand that I may participate in field trips away from the USTA Billie Jean King National Tennis Center throughout the duration of the program. I further understand that I will be adequately supervised and that field trips to off-site locations may occur on a daily basis. I also understand that I (or my parent/legal guardian) may revoke permission for a specific field trip by written notice hand-delivered to the NTC’s Director of Tennis Programs at least one day before the trip. I hereby authorize any medical treatment deemed necessary in the event of any injury to me while participating in any activity. I have appropriate insurance, or, if not, I agree to pay all costs of medical services incurred on my behalf. As a condition of my participation in the program, I hereby grant the USTA National Tennis Center Incorporated (the “NTC”) and its designees the right in perpetuity, for the purpose of the promotion and/or the advertising of the program, the NTC, NTC programs or any events in which I participate, to use my name, photograph, likeness, biography, voice or other identification, in print, film, radio, television, Internet and/or any and all other media now known or hereafter devised and in all other publicity and promotional materials and media, including the right to use and/or sublicense such right to use the same on event posters, programs, merchandise and other materials. The NTC and its designees shall have the right in perpetuity, without additional compensation payable to me, to make, use, show and/or license for any and all purposes, in a commercial and/or non-commercial manner, still pictures and motion pictures/recordings taken of me during the program or otherwise in any and all media known or hereafter devised, including, without limitation, print, film, radio, television and the Internet. As a further condition of my participation in the program, and to the maximum extent permitted by law, I, on behalf of myself and my executors, administrators, heirs, personal representatives, successors and assigns, release, waive, hold harmless and discharge the NTC, United States Tennis Association Incorporated (“USTA”), the City of New York (the “City”) and others in any manner connected with any such program, event and/or other related activities, including, without limitation, the employees, officers, directors, agents and representatives of the NTC, USTA and City (the “Released Parties”), from any and all claims and demands of every kind, nature and character for any losses, injuries or damages that I may sustain, directly or indirectly, arising out of or related to traveling to or from or participating in any program, event and/or any other related activities on any legal theory whatsoever, regardless of whether caused by the negligence of the Released Parties (the “Released Claims”). To the maximum extent permitted by law, I hereby covenant and agree that I will not bring or be a party to any legal action or claim against the Released Parties for any reason based on any of the Released Claims. I agree to indemnify and hold harmless each of the Released Parties from any and all liabilities, claims, actions, damages, expenses, losses and costs of any kind (including, without limitation, attorneys’ fees and costs) caused by or arising out of my participation in any program, event and/or related activities, including, without limitation, my breach of any provision of this Consent and Wavier and any damages caused by me. I and NTC irrevocably submit to the exclusive jurisdiction of the federal or state courts in Westchester County, New York in the event of any dispute, claim or action. I HAVE READ THIS CONSENT AND WAIVER FORM, FULLY UNDERSTAND ITS TERMS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Participant Signature: __________________________________________________
Date: _____________________
Print Name: __________________________________ IF PARTICIPANT IS UNDER 18 YEARS OF AGE: I represent and warrant that I am the parent or legal guardian of the above-named participant (the “Minor”) and that I have read and understood the foregoing Consent and Waiver. I fully consent to and voluntarily authorize the Minor to execute said Consent and Waiver. I acknowledge and agree that all representations, consents, agreements, grants, waivers, authorizations, indemnifications and releases herein shall be regarded as made by me on behalf of the Minor and shall be binding on me and the Minor.
Parent/Legal Guardian Signature: ________________________________________ Print Name: __________________________________________________
Date: _____________________
