Registration A printable version of this form is available here. First name * Last name * DOB * mm/dd/yyyy Gender *MaleFemale 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.