HiersTennis
Registration Form
 
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~Print This Page and Mail Along with Payment
*MADE OUT TO*: HiersTennis, 1122 North Broadway, Stillwater, MN 55082

*Upon receipt, you will be emailed a confirmation.
*If you need to cancel, please do so prior to the start of the activity to receive a refund. This applies to those taking private lessons as well.
*For outdoor programs: you should wear a hat and sunscreen, and bring a towel and lots of water.
____________________________________________________________

***REGISTRATION AND WAIVER FORM***
(Fill out only that which applies to the program in which you are registering.)

Drill/Program Name:_________________________________________

Session/Dates:_____________________________________________

Days:__________________________ Times:_____________________

Level:__________________________ Age(Juniors only):________

Name of Participant:______________________________

Phone #:________________ Emergency contact #:_______________

Email address (required):______________________

Amount enclosed:$_________


Waiver of Liability:
I hereby agree to specifically assume all risk of injury to me and/or dependents while participating in any Hiers Tennis programming, and I hereby wave any and all claims or actions I may have against Joele and Greg Hiers and/or his employees as a result of such injury.

________________________________________ Date__________
Signature of participant or guardian of