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 indicate your preferred days of the week and approximate times. Please be as detailed as possible. View the schedule for more information.

For 10 and Under program - please specify which session you are signing up for: an 8 week or a 17-week.

Note: class space is limited and placement is not guaranteed.

Years of tennis experience:
Playing level:BeginnerIntermediateAdvanced
You consider your child:Very athleticSomewhat athleticNot athletic
What level of play would your child like to achieve?
General tennis educationHigh school varsity or JV teamRegional rankingNational ranking
Other sports your child plays:

Would you like to join YTA Travelling Team and take Match Play Days? YesNo

How did you find out about YTA?

Parental/Guardian Agreement:
I give permission for my son/daughter to participate in the Youth Tennis Academy programs. I hereby agree to the Academy Policy, The Rules and The Code of Tennis, and the payment schedule.
I acknowledge that my child has been advised of medical risks that may result from such participation and I have consulted his/her personal physician regarding that he/she is physically capable of participation in physical activity. I recognize the risk of injury in any exercise program in which my child is participating. I am hereby waiving and releasing Youth Tennis Academy from and against any and all claims, costs, liabilities, and injuries incurred while on YTA premises.

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

The YТА Management reserves all the rights.