Summer Program Registration

Full Day Programs (9am – 3:30pm) will include other sport activities such as Basketball, Soccer and Swimming.
Tennis Olympics will also be done on Fridays for Full Day campers.

Tennis Director

Info for Summer Program

"*" indicates required fields

2026 Summer Program Registration Form
(9am - 12pm or 9am - 3:30pm)

Student's Name*

First Last

Age*

Please enter a number from 5 to 13.

Players age 5 - 7 may only register for Morning Programs

Parent Information

Parent's Name*

First Last

Address*

Street Address City State ZIP Code

Parent's Email Address*

Enter Email Confirm Email

Home Phone*

Parent's Mobile Phone

Parent's Office Phone

I am a Potomac Swim & Tennis Club Member

Yes

Packages (Multiple Weeks)

Package Options [NMbr]

4 Weeks of Morning (9-12) $1200 [NON-MEMBER]

4 Weeks of Full Day (9-3:30) $2120 [NON-MEMBER]

8 Weeks of Morning (9-12) $2240 [NON-MEMBER]

8 Weeks of Full Day (9-3:30) $4000 [NON-MEMBER]

Nothing/Clear

Package Options [Mbr]

4 Weeks of Morning (9-12) $1020 [MEMBER]

4 Weeks of Full Day (9-3:30) $1810 [MEMBER]

8 Weeks of Morning (9-12) $1910 [MEMBER]

8 Weeks of Full Day (9-3:30) $3400 [MEMBER]

Nothing/Clear

Select Desired Package Weeks (4 or 8)

Week 1p: June 15 - 19

Week 2p: June 22 - 26

Week 3p: June 29 - July 2 (4 days)

Week 4p: July 6 - 10

Week 5p: July 13 - 17

Week 6p: July 20 - 24

Week 7p: July 23 - 31

Week 8p: August 3 - 7

Week 9p: August 10 - 14

Additional weeks can be purchased at the discounted rate via emailing admin@passacademypstc.com

Individual Weeks

Week 1n: June 15 - 19 [NMbr]

Morning Camp (Wk1) $330 [NON-MEMBER]

Full Day Camp (Wk1) $590 [NON-MEMBER]

Nothing/Clear

Week 1n: June 15 - 19 [Mbr]

Morning Camp (Wk1) $290 [MEMBER]

Full Day Camp (Wk1) $510 [MEMBER]

Nothing/Clear

Week 2n: June 22 - 26 [NMbr]

Morning Camp (Wk2) $330 [NON-MEMBER]

Full Day Camp (Wk2) $590 [NON-MEMBER]

Nothing/Clear

Week 2n: June 22 - 26 [Mbr]

Morning Camp (Wk2) $290 [MEMBER]

Full Day Camp (Wk2) $510 [MEMBER]

Nothing/Clear

Week 3n: June 29 - July 2 (4 days) [NMbr]

Morning Camp (Wk3) $270 [NON-MEMBER]

Full Day Camp (Wk3) $480 [NON-MEMBER]

Nothing/Clear

Week 3n: June 29 - July 2 (4 days) [Mbr]

Morning Camp (Wk3) $230 [MEMBER]

Full Day Camp (Wk3) $410 [MEMBER]

Nothing/Clear

Week 4n: July 6 - 10 [NMbr]

Morning Camp (Wk4) $330 [NON-MEMBER]

Full Day Camp (Wk4) $590 [NON-MEMBER]

Nothing/Clear

Week 4n: July 6 - 10 [Mbr]

Morning Camp (Wk4) $290 [MEMBER]

Full Day Camp (Wk4) $510 [MEMBER]

Nothing/Clear

Week 5n: July 13 - 17 [NMbr]

Morning Camp (Wk5) $330 [NON-MEMBER]

Full Day Camp (Wk5) $590 [NON-MEMBER]

Nothing/Clear

Week 5n: July 13 - 17 [Mbr]

Morning Camp (Wk5) $290 [MEMBER]

Full Day Camp (Wk5) $510 [MEMBER]

Nothing/Clear

Week 6n: July 20 - 24 [NMbr]

Morning Camp (Wk6) $330 [NON-MEMBER]

Full Day Camp (Wk6) $590 [NON-MEMBER]

Nothing/Clear

Week 6n: July 20 - 24 [Mbr]

Morning Camp (Wk6) $290 [MEMBER]

Full Day Camp (Wk6) $510 [MEMBER]

Nothing/Clear

Week 7n: July 27 - 31 [NMbr]

Morning Camp (Wk7) $330 [NON-MEMBER]

Full Day Camp (Wk7) $590 [NON-MEMBER]

Nothing/Clear

Week 7n: July 27 - 31 [Mbr]

Morning Camp (Wk7) $290 [MEMBER]

Full Day Camp (Wk7) $510 [MEMBER]

Nothing/Clear

Week 8n: Aug 3 - 7 [NMbr]

Morning Camp (Wk8) $330 [NON-MEMBER]

Full Day Camp (Wk8) $590 [NON-MEMBER]

Nothing/Clear

Week 8n: Aug 3 - 7 [Mbr]

Morning Camp (Wk8) $290 [MEMBER]

Full Day Camp (Wk8) $510 [MEMBER]

Nothing/Clear

Week 9n: Aug 10 - 14 [NMbr]

Morning Camp (Wk9) $330 [NON-MEMBER]

Full Day Camp (Wk9) $590 [NON-MEMBER]

Nothing/Clear

Week 9n: Aug 10 - 14 [Mbr]

Morning Camp (Wk9) $290 [MEMBER]

Full Day Camp (Wk9) $510 [MEMBER]

Nothing/Clear

Total Fees

Credit Card*

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Session

Summer: June - August 2026

Medical Authorization & Release

Camper Name*

First Last

Camper 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 camp 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, 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. All refunds prior to the start of the program are subject to fee charges of 6%. No refunds after the start of the program.

Permission for Photo Use*

Yes

I give permission for photos of my child participating in Pass Academy at Potomac Swim & Tennis Club programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.

Additional Information (optional)