Please complete the Official Entry Form and Click 'SUBMIT FORM'.
|
Entrant's Date of Birth
(Must be between the ages of 7 and 16):
*
|
Entrant's Gender:
*
|
|
Entrant's First Name:
*
|
Entrant's Last Name:
*
|
|
Entrant's Address 1:
*
|
Entrant's Address 2:
|
|
Entrant's City:
*
|
Entrant's State:
*
|
|
Entrant's Zip:
*
|
Primary Phone:
|
|
Secondary Phone:
|
Parent/Guardian's Name:
*
|
|
Parent/Guardian's Mobile Phone:
*
|
Parent/Guardian's Email (required for notification):
*
|
|
Parent/Guardian's Occupation:
|
Parent/Guardian's Employer Company Name:
|
|
Annual Household Income:
*
|
|
Do you have a UTR Profile Number?
|
|
If you know your UTR Profile #, please provide
|
|
Do you opt-in to receiving SMS text messages about our scholarship tryouts?
|
|
Additional Optional Information:
|
|
Disclaimer:
DISCLAIMER, ASSUMPTION OF RISK AND RELEASE: ALL FINANCIAL INFORMATION PROVIDED WILL BE KEPT STRICTLY CONFIDENTIAL. PLEASE READ:
- Authorization: The undersigned hereby authorizes Sportime Clubs, LLC (“SPORTME”), the operator of the John McEnroe Tennis Academy, and/or the Johnny Mac Tennis Project (“JMTP”), to verify parent/guardian employment and income history, and related information.
- Confidentiality: The information contained in this form, and any information procured pursuant to verification, will be kept confidential. It will be utilized by SPORTIME and/or JMTP solely for the purposes of determining the nominee's eligibility for a SPORTIME/John McEnroe Tennis Academy or JMTP Scholarship. SPORTIME and/or JMTP will not use such information for any other purpose.
- Waiver: By submitting this form, I agree that I am the parent or legal guardian of the above named participant and that we will abide by all rules and regulations which now exist or which may be hereafter adopted or amended by SPORTIME and JMTP. I further acknowledge and agree that there are certain inherent dangers in playing tennis, and in participating in athletic activities, and that SPORTIME and JMTP shall not be liable for any personal injuries, property damage, or other loss sustained by the me or by the named participant on or about the premises of SPORTIME, or arising out of the use or intended use of any facilities, equipment or other property of SPORTIME. I hereby further declare the named participant to be physically sound and suffering from no conditions, impairment, disease, infirmity or other illness that would prevent the named participant’s participation in tennis and other athletic activities. In the case of accident or injury to the named participant and if an emergency contact person cannot be reached, I grant SPORTIME permission to obtain medical attention, if necessary, for which I will be financially responsible. SPORTIME and JMTP retain the rights to any photographs or video taken at the facility to be used for publicity, marketing, social media or advertising purposes; to review our privacy policies, click here.
I am the parent/guardian of the above-named entrant, and acknowledge that I have read and agree with the Disclaimer, Assumption of Risk and Release, and the related information, set forth herein:
*
|
|
|
|
|
