Camp Registration

In addition to filling out this form, mail or bring the camp medical form.
A printable version of this form is available here.

First name *
Last name *
DOB * mm/dd/yyyy
Gender *
Address *
City *
State *
Zip Code *
Parent's name *
Email *
Home phone
Cell phone *
Emergency contact *
Relationship *
Phone *

Please select the session(s) for which you want to sign up: *

Full dayHalf day


Extended day ($10/hour): 4-5pm4-6pm
(Along with Extended Day option you will get Gym & Pool Family Membership for that week)


Years of tennis experience:
Playing level:BeginnerIntermediateAdvanced
Going to buy lunch at YTA? *YesNo

How did you find out about YTA?


Refund Policy
After May 1st refunds are given for medical reasons with doctor's note only.
Before May 1st refunds are available upon request.


Parental/Guardian Agreement:

I hereby grant permission for my son/daughter to participate in Youth Tennis Academy summer tennis camp. I agree that my son/daughter will abide by by YTA Camp Plan and Policies, and I realize that any breach of conduct may result in expulsion from camp without refund. After May 1st refunds are given for medical reasons with doctor's note only. Before May 1st refunds are available upon request. I hereby agree to the payment schedule and refund policy. I agree not to leave my son/daughter on YTA premises while dropping him/her off without making sure that there is direct supervision by an authorized representative of YTA. I authorize YTA or its authorized representatives to administer medical treatment to my son/daughter at their discretion, and in case of emergency to place my son/daughter, at my own expense and without further consent, in a hospital for medical service and treatment, or if no hospital is not readily accessible, to place my child in the care of a licensed doctor for treatment. I hereby agree to release, discharge and hold harmless Youth Tennis Academy and its employees from all causes, liabilities, damages, claims or demands whatsoever on account of any injury or accident involving my son/daughter in the course of activities held in connection with the camp.

The Management reserves all the rights including the right to accept or deny the application for the camp.

I have read the above agreement and I accept its terms.

The YТА Management reserves all the rights