Junior Registration Form | Betsyracket.net

CCRA JUNIOR PROGRAM REGISTRATION

Click here for downloadable / printable form.

To confirm space available contact Betsy at Betsyracket@verizon.net

Student’s Name ________________________________ age _____ level: ____________

Parent’s name ___________________________

Best number to contact: _______________ __

e mail ____________________________________

Check programs enrolling:

Program #1: ___________________ Day and Time: ___________________________

Program #2: ___________________ Day and Time: ___________________________

Program #3: ___________________ Day and Time: ___________________________

Weeks/Dates: _________________________________________________________

Full payment is required with registration in order to confirms spot. If cancel within 7 days of registered week, no refund. See make-up policy for rained out classes, switching classes, injury, etc.

Please sign Liability waiver:

I have read and understood the cancellation and refund policy. CCRA and Betsy Heidenberger will incur no liability in the event of an injury or accident while participating in any activity during the programs which I have enrolled at the CCRA Swim and Tennis Club. I am aware of the coronavirus safety guidelines expected to be followed by all those at the CCRA property.

Signature _________________________________ Date ________________

Amount Enclosed: ______________________ (payable to Betsy Heidenberger) or Zelle payment to Betsyracket@verizon.net.

Betsy Heidenberger

3521 Hamlet Place

Chevy Chase, Maryland 20815