Nestor Gramatica Tennis Academy Inc.
Tennis Camp Application
Date ___/___/___



Please circle your desired camp below:
2011 - 2012 Junior Winter Tennis Clinic

Session I:
Sat. 9/17 - 1/7
No Clinic: 12/24, 12/31
No Practice Time: 12/23, 12/24, 12/25, 12/30, 12/31

Session II:
Sat. 1/14 - 4/21

_______________________ _______________________________ ______________________

Satur day Clinic Times [Circle One]

3:00PM to 5:00PM | Beginner/Intermediate/Advanced

OR

5:00PM to 7:00PM | Advanced/Tournament


*Note: Make up classes will be given for specific holidays only!!
NO REFUNDS for any reason or make-ups for absences!!
Enroll early due to limited spaces available!



Please circle your desired camp below:
2011 Junior Summer Tennis Camp

Session I:
June 27th - July 1st
July 5th - July 8th

Session II:
July 11th - July 15th
July 18th - July 22nd

Session III:
July 25th - July 29th
August 1st - August 5th

Session IV:
August 8th - August 12th
August 15th - August 19th

Note: A $250 non-refundable deposit for each session must accompany application. Balance is required on the first day of session.

Registration Information:
Required Summer Deposit: $250.00
Summer Prices -
1 Week Program: $395.00
2 Week Program: $698.00
3 Week Program: $1,050.00
4 Week Program: $1,125.00
5 Week Program: $1,380.50
Full Summer Program: $1,934.00
Winter MUST be paid in full amt.
Winter Prices -
15 weeks per session - $945.00



Student's Name:___________________________ Age: ______
Address:_______________________________
City:_____________________, State:_____ Zip:_________
Phone(s):___________________________
Family Physician:__________________________
Physician's Phone:_________________________
Contact person(s) in case of emergency:
Name:___________________ Phone:_____________________
Name:___________________ Phone:_____________________
Signature of Parent or Guardian:___________________________ Date: ____________
Important: A copy of your child's immunization record is required prior to the start of session.
Please make checks payable to:
Nestor Gramatica Tennis Academy, Inc.
C/O Nestor Gramatica
20 Glen Ave.
Mine Hill, NJ 07803

Thank you!
www.NGTennisAcademy.com