City Tennis Course Registration Form

课程注册表

Participant(s) Information

学生信息

Participant 1 Full Name 学生1全名

Participant 1 DOB 学生1生日

Year

Month

Day

Participant 1 Gender 学生1性别

Male

Female

Prefer not to say

Participant 2 Full Name 学生2全名(if applicable, 选填)

Participant 2 DOB 学生2生日

Year

Month

Day

Participant 2 Gender 学生2性别

Male

Female

Prefer not to say

Contact Information

联络方式

First name 名

Last name 姓

Email 邮箱

Phone 电话

Course Selection

课程选择

Your Course 课程类型 (Kid is up to Grade7, 七年级及以下为孩子)

Adult 1-on-1 成人一对一

Adult 1-on-2 成人一对二

Kid 1-on-1 儿童一对一

Kid 1-on-2 儿童一对二

Family 1-on-2 (One Adult +One Child) 家庭一对二

Your Coach 选择教练 (Trail Class Price, You Could Select a Few; 附试课费，可多选)

Available Time 1 试课时间1

Year

Month

Day

Time

HoursMinutes

Available Time 2 试课时间2 (if applicable, 选填)

Year

Month

Day

Time

HoursMinutes

Emergency Contact Information

紧急联系人

Emergency Contact Name 联系人全名

Emergency Contact Relationship 联系人关系

Emergency Contact 联系人电话

Health Disclaimer

健康声明

Do the participants have any medical conditions or allergies? 学生有任何现有的医疗状况或过敏情况么

No

Yes

Please specift if Yes to above 如果有请详述

Waiver & Policy

免责声明

By checking the checkbox, I, the undersigned, understand the risks associated with physical activity and release City Tennis Inc. and all its staff, coaches, employees, contractors and associates from liability. 勾选此选框即表示本人已了解与体育活动相关的风险，并同意解除 City Tennis Inc. 及其所有工作人员、教练、雇员、承包人和关联人员的责任。

By checking the checkbox, I have read and agree to the City Tennis Course Policy 勾选此选框即表示本人已阅读并同意 City Tennis 课程政策。

Signature 签名

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Signature Date 签名日期

Year

Month

Day