EMAIL: ... MEDICAL RELEASE: I give my child permission to participate in the ... or any liability for injuries or damage
ROBINSON “END OF SUMMER” TENNIS CAMP Summer Jr. Development Director: Coach Jack Gregory
Assistant: Coach Jodi Olson
Helping Take Robinson Jr Tennis to the Top
August 7-10, 2017 GROUP I –
(MON-THU) at the RHS Tennis Center
GROUP II – COST: $50
COST: $45
Entering 1st – 5th grades
Entering 6th – 9th grades
TIME: 8:30 – 10:00 a.m.
TIME: 10:00 a.m. – 12:00 p.m.
2 or More Siblings Registered: $40 Each (Maximum $100 per family) Please complete a separate registration form for each child attending.
$30 each for children of RISD Faculty/Staff (make note on registration form) Each player will receive a camp t-shirt and certificate of participation. A limited number of rackets will be available for use.
Make check payable to and mail to: Jack R. Gregory 610 North Ave N Clifton, TX 76634
MEDICAL RELEASE: I give my child permission to participate in the Robinson Tennis Summer Junior Development Program under the direction of Jack Gregory. I agree to assume any and all liability and hold Mr. Gregory and any assistant instructors harmless from all claims or actions which I or my child ever had, now have, or may have in the future or any liability for injuries or damages which occur to my child or me as a result of his/her participation in this program. I waive all claims for medical expenses that may occur as a result of accidental injury. In case of injury I give my permission, if I cannot be contacted, for Jack Gregory or his representative to obtain medical services for my child if the injury is deemed an emergency. MY CHILD IS ALLERGIC TO: _______________________________________________________________________________ AND HAS THE SPECIAL MEDICAL CONDITION OF: __________________________________________________________ ____________________________________________________________________________________________________________ ________________________________________________ PARENT/GUARDIAN SIGNATURE