ATA After School Programme Registration

First Name:*
Last Name:*
Age:*
Gender:*

Address:*
Date Of Birth*
T-Shirt Size:*







Parent / Guardian Name:*
Home Phone #:
Work Phone #:
Cell Phone #:
Email Address:*
 

Method of Payment

  • $75 USD Per Month
  • $50 USD each additional child in the same household

Cash and Cheque Accepted only.

Cheque Payable to: Anguilla Tennis Academy

I confirm that my child’s health meets the physical standards for participating in the activities involved in the After School Program.  I understand that neither the Anguilla Tennis Academy or the coaches and staff of the camp will assume responsibility for accidents resulting from training during my child’s participation.  I give my consent and approval for the Anguilla Tennis Academy, its Director, and staff to act on my behalf in securing medical attention for the above applicant from a licensed physician or hospital.