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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, do so at least one week prior to the start of the activity to receive a refund
(minus a $25 refund fee). *Kids
should wear a hat and sunscreen, bring a towel and water bottle. ____________________________________________________________
***REGISTRATION AND WAIVER FORM***
Name of Participant:_________________________________________
Drill/Program
Name:_________________________________________
Session/Dates:_____________________________________________
Days:__________________________ Times:_____________________
Phone:_____________________ Emergency #:___________________
Email address (REQUIRED):___________________________________
Amount enclosed:$___________
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
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