Ladies Team Registration

On-line Registration for Team Matches & Team Practice

Ladies Interclub Team Payment Form
April 10 - June 2 2023
Name*
First Last
Address*
Street Address City State ZIP Code
Email Address*
Enter Email Confirm Email
Phone*
Ladies IC Team
Price:
IC Team Practice & Team Matches
Team Options*
- A1 Team: Tues 12:30 - 2 (8 clinics & home matches) ($440)
- A3 Team: Mon 9:30 - 11 (7 clinics & home matches) ($330)
- B3 Team: Thurs 9 - 10:30 (7 clinics & home matches) ($330)
Total Fees
$0.00
Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Assumption of Risk Waiver*
- By checking this box I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself as a result of exposure to COVID-19 in connection with attendance at the Potomac Swim & Tennis Club or participation in Pass Academy lessons, programming or court rental. On my behalf I hereby release, covenant not to sue, discharge, and hold harmless Potomac Swim & Tennis Club or Pass Academy.
Additional Information (optional)