Junior Indoor Group Program

Junior Indoor Group Tennis Program Registration

On-line Registration for Manor Montessori's Indoor Group Tennis Program with Pass Academy at Potomac Swim & Tennis Club

2023 Junior Indoor Group Tennis Program
Student's Name*
First Last
Age*
Please enter a number from 5 to 9.
Parent Information
Parent's Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Parent's Email Address*
Enter Email Confirm Email
Parent's Phone*
I am a Potomac Swim & Tennis Club Member*
- Yes
- No
January 20th - March 24th (8 weeks)
GROUP TENNIS PGM [Ages 6 - 8]
Price:
GTP [Non-Member]
- Friday 1- 2pm ~ GTP ($230) [NMbr]
GTP [Member]
- Friday 1 - 2pm ~ GTP ($200) [Mbr]
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
Medical Authorization & Release
Student Name*
First Last
Student Condition*
- By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first class session.
Date of Medical Authorization*
MM slash DD slash YYYY

By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
Date of Parent Release*
MM slash DD slash YYYY

By dating above & signing below, I agree to hold the Pass Academy and Potomac Swim & Tennis Club harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
Cancellation Policy*
- By checking this box I accept the following policy. Cancel prior to 1st class: pay for 1 class. Cancel after 1st class: pay for 1 class plus $75 replacement fee. Cancel after 2nd class: pay for 2 classes plus $100 replacement fee. Plus credit card fees. No refunds after 3rd week. Medical reasons will be accepted with a doctor’s note.
Permission for Photo Use*
- Yes
- No
I give permission for photos of my child participating in Pass Academy Potomac Swim & Tennis Club programs to be taken and used for the Pass Academy, understand that if students are identified, only their first names will be used.
Additional Information (optional)

Junior Indoor Group Tennis Program Registration

On-line Registration for Manor Montessori's Indoor Group Tennis Program with Pass Academy at Potomac Swim & Tennis Club

2023 Junior Indoor Group Tennis Program

Parent Information

January 20th - March 24th (8 weeks)

Medical Authorization & Release