Rafael Racquet Club
About Rafael Racquet ClubTennisAquaticsFitness and HealthCafe

Totally Tennis Summer Camp Registration Form

95 Racquet Club Drive, San Rafael, CA 94901 | 415-456-5522 | LBerg@rafaelracquetclub.com | Fax: 415-456-0914

To complete form electronically: Fill out boxes below and click "submit". It will be sent to us, and a copy will be sent to your email address.

 

Member Non-Member
 
 
Camper's Last Name
First Name
 
Date of Birth
Age
M/F
Please list any medical or physical limitations:


 
Parent's Last Name
First Name
 
Address
City
State
Zip Code
Home Phone
 
Cell Phone
Email Address
 


Choose Session(s):
Session 1: June 11-21
Session 2: June 25-July 6*
Session 3: July 9-19
Session 4: July 23-August 2
*Class during this week is M, T, Th, F.
If signing up for one week only, please indicate week:
Choose Age Group/Class Time:
Lobbers: 12:30-2pm
Slicers: 12:30-2pm
TopSpinners: 2pm-4pm
High Performance: 2pm-4pm
Comp. Traning: 4pm-5pm (Must be enrolled in 2-4pm class)
 


Choose T-Shirt Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Is the child attending RRC Summer Camp?
Yes
No
 

 
Comments? Questions? Please enter them here:


Acknowledgement of Recreational Risks
The Rafael Racquet and Swim Club, RRC, is a recreational sports facility. I am unaware of any physical condition that requires me to limit my participation in recreational sports activities at RRC. I understand that my (and/or my children’s) participation in any recreational sports activity may involve strenuous exertion, may lead to physical contact with other people, facilities or equipment, and may result in injury, which could be serious, including the possibility of permanent disablement or even death. I also understand that if I develop or become aware of any physical condition that affects my ability to participate in recreational sports activities, the risk of injury to me from participation in these activities may increase.

Release of Rafael Racquet and Swim Club from Liability:
I/we, the undersigned, in consideration of the use of the Rafael Racquet Club, and for the particular function described below, (1) do hereby release and forever discharge said Rafael Racquet Club, its officers, directors, employees, and members, from any and all claims, liability, actions and/or judgements as a result of any injuries or damages, without limitation, my permanent disability, disfigurement and/or loss of life or limb, including property damage, whether caused by the negligence of the Rafael Racquet Club, or not, in connection with or in any way arising out of the use of the club facilities by the undersigned; (2) and do hereby agree to indemnify and hold harmless the Rafael Racquet Club for any such injuries, or damages, including death or property damage, whether caused by the negligence of Rafael Racquet Club, in whole or in part, in connection with or in any way arising out of the use of the club facilities by the undersigned. My assumption of liability includes injuries that are caaused or exacerbated, in whole or in part, by my physical condition, or by the negligence and/or acts or omissions (whether or not intentional) of the staff, other members and guests, officers and/or directors of RRC.


 
 Click here to acknowledge your have read and agree to the risks and release statements


Payment/Cancellation
Parents: Please complete this application and mail your non-refundable $100 deposit (for each child and each session) to reserve your position in any one of the classes. Each application must be signed by the parent or guardian before it will be accepted. There are no refunds after Camp has begun. Only campers who leave camp due to an injury or illness will receive a pro-rated credit good for use at a future camp. RRC Members: The balance of Camp will be billed to your RRC membership unless we receive a check by the start of Camp.

I understand the cancellation policy. (Enter Name)



Charge my RRC Account I will mail a check
 
 

Signature
By entering my full name, I am signing this application:
        Date


 

Please Click "Submit"