Prospect Park Alliance Tennis Learn & Play Doubles This league is a combination of 2015 – 16 Season instruction and doubles play for Tuesdays, 9 – 11 am 2.5 player and above. 6-Week session: $300 Individual session: $65 Register up to one week in advance. To sign up, please The Prospect Park Tennis Center complete the registration form. Payment in full is required at the Parade Ground is a program due upon registration. of the Prospect Park Alliance. No refunds. No make ups for missed sessions. Player Proceeds go toward the ongoing subsitutions are allowed. maintenance of the Tennis Center. 24-hour advanced notice required to cancel reservations. 50 Parkside Avenue prospectpark.org/tennis Tel (718) 436-2500 prospect_park prospect_park prospectparkbrooklyn Brooklyn, NY 11218 Fax (718) 972-2690 Ways to return form: Prospect Park Tennis Center In person: 50 Parkside Avenue, Learn & Play Doubles Brooklyn, NY 11218 By fax: (718) 972-2690 Registration Form 2015 – 16 By mail: Prospect Park Alliance, Tennis Center. 95 Prospect Park West, Brooklyn, NY 11215 Your Information Name M F Address City State Zip Telephone Email Emergency Contact Name & Number Session (please check your choice) Learn and Play ($300/6 sessions) Individual session ($65) Give a Kid the Gift of Game Please consider making a charitable contribution with your payment. Your gift will support scholarships for children in the Junior Development Program at the Tennis Center. All contributions are fully tax deductible. Yes, I would like to add $ as a contribution to the Junior Development Scholarship Fund. Your Payment Information Payment method: Check Credit Card Cash Payment $ + Contribution $ = Total $ Make all checks payable to Prospect Park Alliance Tennis. To pay by credit card please fill in the information below: Credit Card # Exp. Date Cv2# Card Holder Name (print) I authorize the Prospect Park Tennis Center to charge the credit card listed below for charges incurred at Prospect Park Tennis Center. Credit card payments are not accepted by email. If submitting via email, call (718) 436-2500 x305 to provide credit card information. Signature Date Waiver and Release from Liability The participant (parent/guardian if under 18 years of age) assumes full responsibility for the risk of injury while participating in all activities at the Prospect Park Tennis Center. The participant and their parent/guardian agree to hold harmless and indemnify NYC Parks and Recreation, Prospect Park Alliance and the Prospect Park Tennis Center from all liability, loss, cost, claim or damage resulting from participating in any activity at the Prospect Park Tennis Center, and grant permission for the promotional use of photos of participants at the Prospect Park Tennis Center. Signature Date For Office use only Series 1: Cash, Check, Credit Card Amount Day Series 2: Cash, Check, Credit Card Amount Day 50 Parkside Avenue prospectpark.org/tennis Tel (718) 436-2500 prospect_park prospect_park prospectparkbrooklyn Brooklyn, NY 11218 Fax (718) 972-2690.