SATA, 128 Brown Pelican Drive, Savannah, GA 31419
(DO NOT RETURN YOUR REGISTRATION FORM OR CHECK TO YOUR SCHOOL OR TO P.O. BOX.)

 For more information call 507-9862 or e-mail This email address is being protected from spambots. You need JavaScript enabled to view it.

 

USTA # (if you have one) __________________________________________________________

Program I am Signing Up For:________________________________________________________________

 

Name ______________________________________________ Birthday ______________________________

 

Male _____ Female _____

 

School ____________________________________ Parent/Guardian Name ___________________________

 

Address (street, city, zip) ____________________________________________________________________

Contact Information (home and emergency phone)______________________________________________

 

E-Mail Address (important for program Communications) ______________________________________________________________

 

INFORMED CONSENT - NAME of Participant ____________________________________________________

Pre-existing medical conditions ________________________________________ I am (or my child and I are) aware that participating in any or all SATA tennis programs is a potentially hazardous activity. I assume all risks associated with participation in this sport, including but not limited to falls, contact with other participants, the effects of the weather, traffic, and other reasonable risk conditions associated with the sport. All such risks to me (or to me and my child) are known and understood by me. I understand this informed consent form and agree to its conditions on my own part (or on behalf of my child). I also understand that pictures may be taken of me (or of my child) while participating in the SATA program and I consent to the use of such pictures by SATA for the purposes of advertising tennis and tennis programs.

Participant or Parent/Guardian's Signature:________________________________ Date _____________

***Important Notice: Regarding your e-mail address: Much of our contact with participants is through e-mail so providing your e-mail address is important. It is the policy of Savannah Area Tennis Association to not give out any of those e-mail addresses on our lists.***

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