Las Cruces Tennis Players Association

                               After School Programs

 

 

This is a LCTPA sponsored Program form needed for each participant  

No online registration available, copy, paste and print out registration form below and bring 1st day of Program, one form for each junior participating. Make check out to LCTPA.

 

                    After School Program for Middle School Age Youth

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               Registration Form for After School Programs

REGISTRATION FORM (needed for participant)

 Junior's Name: ______________________________________________Age______

 Mother's Name______________________Cell#______________________

Father's Name__________________Cell#______________________

 Emergency contact number________________________________

 

Email address: _____________________________________________

 

Health issues (such as, allergies, asthma, etc._______________________

 

Please Read: Legal Notice to all participants:

 

Acceptance of your entry in these Programs are without responsibility of any kind by the Las Cruces Tennis Players Association and/or the City of Las Cruces and/or any entity sponsoring the event. Parents, you must agree and discharge LCTPA, its officers and instructors, representatives, from any and all claims, demands and medical expenses however arising. All such claims are hereby waived and released, and I covenant not to sue therefore.

 


 

__ I give LCTPA and USTA approval the usage of any photos for their website, newsletter locally and nationally.

 


Signature:__________________________________________ Date________________

 

  Las Cruces Tennis Players Association Youth Programs

2018 Junior Membership

Yearly fee of $15.00 per Junior Membership

( A $5.00 discount for everyone from Thanksgiving to December 31st, 2017)

LCTPA's monthly newsletter
Ladder Challenges against other Junior members
 Las Cruces Tennis Players Association  Junior Membership Form

Information required:

Junior Name(s)______________________________Grade____

Email address_________________________________

Home Phone  or Cell number______________________________

Junior - $15.0
Memberships calendar year  starts January 1st , ends midnight of December 31st . 
Please make check out to LCTPA and mail to, P.O. Box 262, Las Cruces, NM, 88004
Newsletter is sent via email unless requested by snail mail. 

 No on-line registration, call Candace Giummo for additional information at 575-496-6801