Omni Amelia Island Plantation Tennis Program Registration
Please complete the details below to register for an upcoming event. If we require payment to register we will call you to take payment. Alternatively you can call us at 904 277 5145 to provide a credit card for payment. If you have any questions please email director of tennis Sal Barbaro at
[email protected]
Name
*
Age (If under 18)
Address
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
AA
AE
AP
Parents / Guardians Name (if registering child)
Primary Phone Number
*
Emergency Contact
*
Emergency Phone Number
*
Email
*
Are there any medical issues we should be aware of?
*
Yes
No
If Yes, Please Describe
*
Program Registration
*
Junior Summer Camp
After School Junior Session
Junior Play Day
Adult Round Robin / Event
Date of Program
*
Name of Event
Total
$0.00
Terms
*
Liability Disclaimer: In consideration of Cliff Drysdale Management; Allowing myself, and / or my child's/children's participation in the camp, I for myself and / or my child/Children release Omni Amelia Island Plantation and Cliff Drysdale Management and its partners and affiliated officers, directors, agents and employees from and waive all claims, damages, and liabilities whatsoever for property damage or loss, personal injury or death arising from or in connection with my, my child's/children's participation in the camp. Cliff Drysdale Management retains all rights to any video and photographs taken at the camp to be used for publicity or advertising.
I have read and agree to the terms above.
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