JCPT JUNIOR POWER TENNIS DAY CAMPS

2009 APPLICATION

Please print this out. Fill out/check appropriate information.

Child's Name ___________________ Date of Birth____________________

Gender (Male) _____ (Female) _____ Email _________________________

Parent's Name________________________________________________

Address _____________________________ City ___________________

State ____________________________ Zip _______________________

Home Phone _____________ Bus. Phone ________ Mobile ___________

Ability of Child: Beg._____ Inter. ____ Adv. ____ Tourn.______

Parent or Guardian Signature ___________________________________

A $100.00 deposit is required with this application to secure space reservation. The balance is required one week prior to attending camp. Limited camp space is available. Reservations are made in order of receipt of this application.

Cancellations and changes of date must be received in writing one week prior to camp in order for balance to be refunded. All cancellations are subject to a $50 service charge.

Checks Should be Made Payable to:

Jack Conrad Power Tennis (JCPT)

43 Steeplechase Lane ~ Royersford, PA 19468

610 948-9100 ~ Fax 610 948-9200

DAY CAMPS SESSION TIMES:

____ Full Day (9:00 am - 4 pm) ____Morning (9:00 am - 12:00 noon)

____ Afternoon (1:00 pm - 4:00 pm)

SESSION DATES:

The Phelps School _____

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