2019 Tennis Camp Registration Form
First name* 

Last name* 

Date of birth* 



Postal Code* 

Home phone* 


Mother's name 


Father's name 

Phone (if different from above) 

Emergency contact name 


Emergency contact phone 

Health Card #* 

Family Doctor 

Medical restrictions/allergies: 

Camp dates and time slots

Please indicate which weeks and time slots you'd like to register for.

For full day tennis camp, please select both time slots.

July 15 - 19 
August 12 - 16 
Additional information: 

Please fill out additional information that applies to you.

BCTC reserves the right to cancel sessions with inadequate enrollment or for unforeseen reasons.

Waiver & Permission:

I hereby release the Barrie Community Tennis Club Inc. and all their employees, subcontractors and
assignees from all claims for damages arising from any accidents or injuries which are caused by or
arise from participation of the applicants named above, during any program orin any facility or at any
location where the program is being held.

Barrie Community Tennis Club Inc. is permitted to list the campers' name, phone number,
and email address on listing.


By selecting below, I agree to the terms and conditions (above).