PARKS & RECREATION TENNIS SIGN-UP FORM
 
Print this form, fill it out, and... 
   mail to: 
 First Serve  
  1040 Park Avenue    
  Long Beach, CA 90804
(Include credit card number or make checks payable to: First Serve)
or... fax to:
 (562) 438-1249 or drop off at Billie Jean King or El Dorado Pro Shops.

PLEASE PRINT

Responsible Party:
Address:
City:                                                                                   Zip:
Home phone:                                                                     Work phone:
Email Address:
Class No.:          

Class Name:

  
Day/Time:  

Start date:

  

Location:

  
Student Info:

Last Name

 

First Name

 

Birthdate:

 

Sex:

   

First Time Student?

Yes

 

No

 
Payment Method:

Check*

 

Money Order

 

MasterCard

 

Visa

 
Credit card #:                                

Exp.date:

  

JUST A REMINDER - Refunds must be requested one working day prior to the first class. If minimum required enrollment is not met, classes may be canceled. There is a $9 processing fee for each refund. NO REFUNDS will be given on or after the day the class is scheduled to begin. $30 Service Charge on returned or canceled checks. Refunds are limited to 90 days after a class has begun and please allow 3-4 weeks for processing. Feel free to make copies of this form to sign-up for additional tennis classes.

For valuable consideration, I for myself, my successors, heirs, assigns, executors, spouse, administrators & next of kin covenant not to sue, release, waive & discharge the City of Long Beach and First Serve, their officials and employees ("City") from all liability, loss, damage, claims, demands, causes of action, costs & expenses including attorney's fees against City arising from my or my child(ren)'s participation in class & transportation connected with class; I assume all risks of personal injury & death including medical/hospital bills & damage to personal property arising from my or my child(ren)'s participation in class & transportation connected with class except if injury/death is caused by City/First Serve's gross negligence.  I understand that City and First Serve provides no insurance for participants.  By signing below, I acknowledge that I’ve read this Release, understand that I give up certain rights and sign voluntarily.

Signature______________________________________Date_________________