Grip N Rip Tennis League Junior Form

 

Name*:               Parents Name*:               (*denotes required )       
Address
*:
City
*: State*:  Zip*:
Phones
*(H) W) C)
E-mail address
*:     Repeat e-email address*

Age/Birth Date of Player*           Gender:    Male    Female 

How often do you play tennis?    Seasonally (ALTA/USTA)          Weekly         Recreationally  

Do you take weekly lessons  or drills?        Yes          No     If so, who is your Coach?   

Do you Play on an ALTA/USTA Team?      Yes            No 

If so,  Age and  Level of Last Team         Did you play Singles?    Yes         No

Have you ever played in a tennis tournament?   Yes        No

Do you presently hold a state ranking in any category?         Yes             No   If so,  What is your Ranking.    

Home Court Name:

How did you hear about us  

Placement  by onto Grip N Rip is based on all information and availability.

Medical Release: I hereby consent to emergency medical and/or hospital service that may be rendered by or at accredited hospitals, by appointed physicians, in the event such a need arises in the opinion of a duly licensed physician.
Waiver and Indemnity Agreement: Acceptance of my entry in these events is without responsibility of any kind by, Grip N Rip, the host clubs, neighborhood boards, committees, or the management of any event in which I may be entered or may participate. In consideration of the acceptance of my entry, I do hereby for and on behalf of myself and my heirs and legal representatives release and forever discharge, Grip N Rip, the host clubs, neighborhood boards, their officers, committees, and representatives and their successors and assigns, of and from any and all claims, demands, and injuries, however arising, whether caused by the negligent or intentional acts of Grip N Rip and its representatives, representatives of other sponsoring entities, or by third parties, which injuries may be in any way related to my activities during the challenge ladder and any period traveling to or from the events described, and all such claims are hereby waived and released, and I covenant not to sue therefore. The player, by signing below, does hereby agree to indemnify and hold harmless Grip N Rip and its representatives and the sponsoring entity from any liability which they may incur to the entrant, howsoever arising and whether caused by the negligent or intentional acts of Grip N Rip, its representatives, or the sponsoring body. I understand that this league will be governed by applicable USTA rules, and code of ethics and agree to conduct myself accordingly. I have read and understand the foregoing medical release, waiver and indemnity agreement

   Payment Form     Check    PayPal      
   I agree to the above release 
*             I Accept       I Do Not Accept

   I state that this is filled out by a Legal Guardian of the Player*      Yes   No

                                                                                                    Back  to Registration