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THE HOUSTON CITY CLUB JUNIOR TENNIS ACADEMY
DIRECTED BY
ZEZE DE MOURA, U.S.P.T.A.
HEAD OF PLAYER DEVELOPMENT
FALL 2012
JUNIORS 11 AND UP
Session 1: Thursday 5 – 6 pm – August 23, 30, September 6, 13, 20
Session 2: Thursday 6 – 7 pm – August 23, 30, September 6, 13, 20
Session 3: Thursday 5 – 6 pm – September 27, October 4, 11, 18, 25
Session 4: Thursday 6 – 7 pm – September, 27, October 4, 11, 18, 25
Session 5: Thursday 5 - 6 pm – November 1, 8, 15, 29, December 6
Session 6: Thursday 6 – 7 pm – November 1, 8, 15, 29, December 6
COST: $100 PER SESSION (5HOURS)
PAYMENT FOR SESSION IN ADVANCE
THERE ARE NO MAKE UPS FOR MISSED LESSONS
FALL 2012
JUNIORS 11 AND UP REGISTRATION FORM
Please register early, spaces are limited
Name ___________________________________________________Age______
Address____________________________________________________________
City _________________State _______ Zip ___________
H #_____________________________W #_______________________
Cell._________________
Email address:_______________________________________________________
Membership #___________Non-member_________
(NO REGISTRATION ACCEPTED WITHOUT FEE)
Level of play: Beginner_____ Intermediate_____ Advanced_____
Session 1: 5 - 6 ___ 6 - 7 ___
Session 2: 5 - 6 ___ 6 - 7 ___
Session 3: 5 - 6 ___ 6 - 7 ___
Session 4: 5 - 6 ___ 6 - 7 ___
Session 5: 5 - 6 ___ 6 - 7 ___
Session 6: 5 - 6 ___ 6 - 7 ___
FOR MORE INFORMATION CONTACT
ZEZE DE MOURA, U.S.P.T.A.
HEAD OF PLAYER DEVELOPMENT
zez1108@aol.com
(713) 724-8503 cell.
(713) 840-9001 ext. 323
Liability and Medical Release:
I hereby release the Houston City Club, its staff pros, employees and sponsors, of all responsibility in the event of injury. I also consent to any emergency medical or hospital service that may be rendered at designated hospitals by appointed physicians in the event such need arises. ________________________________________________________________
Parent or Guardian Print Parent or Guardian Signature |
