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ORANGE HUNT SWIM CLUB, INC. (OHSC)
2017 SPRING/FALL TENNIS REGISTRATION
(www.orangehuntswimclub.org)
Family
Last Name:
Participant Full Name
Gender
Membership #:
Age
Schedule
(as of 6/1/17)
M
F
age 5-7
age 8-12
age 13-14
older
M
F
age 5-7
age 8-12
age 13-14
older
M
F
age 5-7
age 8-12
age 13-14
older
M
F
age 5-7
age 8-12
age 13-14
older
Make check payable to:
Orange Hunt Swim Club
To Pay by Credit Card: Enter your email below to
receive your billing statement and instructions for
payment. A 4% processing fee will apply.
Friday
Afternoons
6-week
Sessions
Hour lessons in
window of 4:456:45pm. Times
TBD on
participation and
available
daylight.
Weather
make-ups TBD
on subsequent
Friday
afternoons
For Official
Use Only
Date:
Init:
(Membership # located on Membership card;
new members will be assigned a number)
Session
(select all that apply)
Spring:
April 21 - May 26
Fall:
Sept 1 - Oct 13
Spring:
April 21 - May 26
Fall:
Sept 1 - Oct 13
Spring:
April 21 - May 26
Fall:
Sept 1 - Oct 13
Spring:
April 21 - May 26
Fall:
Sept 1 - Oct 13
Prices
Permanent Associate
One session:
$60
$66
Both sessions:
$100
$111
One session:
$60
$66
Both sessions:
$100
$111
One session:
$60
$66
Both sessions:
$100
$111
One session:
$60
$66
Both sessions:
$100
$111
Amount
Due
Mail this completed form & payment to:
TOTAL
Orange Hunt Swim Club
P. O. Box 2012
Springfield, VA 22152
Paying by:
Check (# _________)
Credit Card
Cash
Email:
Parent/Guardian Information
1st
Adult:
Name:
Cell:
Street Address:
Work:
City/State/Zip:
Home:
E-mail Address:
2nd
Adult:
Name:
Cell:
Street Address:
Work:
City/State/Zip:
Home:
E-mail Address:
Parent Communication: Please identify additional contacts (e.g. nanny) for which you would like to receive official
Orange Hunt Tennis messages.
QUESTIONS?
Email: [email protected]
Tennis Camp Registration Form
Orange Hunt Swim Club, Inc.
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