PARENT MEETING:
Tuesday, February 28 @ 3pm-5pm
SPRING 2017
TENNIS AFTERSCHOOL
REGISTRATION FORM
Since 2001, Coach Larsen has provided Tennis
Afterschool lessons with a clean safety
record! Lessons are conducted in a non-competitive
environment. Lessons encourage “goal-setting”, build
self-esteem, basic tennis skills through fun games,
plus offers opportunities to be a team captain or
organize "round-robin" court play. Beginners start on
the ball wall. Intermediates practice consistency and
stroke production lessons on the basketball court.
Racquets balls, portable nets are provided. Enroll
using this Student Registration & Waiver forms.
TUESDAY, TENNIS AFTERSCHOOL
(Grades 1 – 5)
(Beginners, some Intermediates)
(10 LESSONS)
When: Tuesday, February 28, 2017 to May 16,
2:40pm-3:30pm, May 16 (2:40pm-4:40pm)
Where: Meet @ #'s on blacktop between
MUSIC & BALL WALL, 2050 Vanderslice,
Walnut Creek, CA 94596
FEBRUARY 28 @ 3pm-5pm REGISTRATION/
Parent-Guardian Meeting, “MEET & GREET”
MARCH 7, 14, 21, 28 @ 2:40pm-3:30pm
1. "Meet & Greet" @ ball wall. If rain, meet in
Kindergarten room.
2. Pick up/Fill-out Registration and Waiver
Forms.
3. Cost: $120, payable to TennisAfterschool
(Funds are not refundable. Lessons can be redeemed
in the summer)
---If @ 2/28, Parent's Meeting: Fee can split into 2 payments, 1 due
at registration, other at end of March. (Checks, cash
accepted/receipt given)
---If unable to attend 2/28 Parent Meeting, Deliver
Registration/Waiver forms with payment to 1612 Whitecliff Way,
Walnut Creek, CA 94596 by or before Monday, March 6th.
1. COMPLETE this REGISTRATION
FORM and SIGN WAIVER (attached)
2.
3.
4.
and/or PRINT & FILL-OUT School WAIVER
found on school website: Murwood Parent
Registration & Waiver Form or go to
http://murwoodpta.org/ASE.php
COMPLETE STUDENT INFORMATION:
ATTACH to REGISTRATION & WAIVER
FORMS.
Choose payment method:
DELIVER forms and checks: Payable to
Tennis Afterschool, 1612 Whitecliff Way,
Walnut Creek, CA 94596.
(Rudgear to Whitecliff Way)
Your child’s safety is very important to us. Students must be
picked up promptly at the end of class! Make sure that your
child understands where to meet you. Tell the instructor
WHO will be picking up your child and list them below.
After class my child will (circle all that apply):
Go to Keyspot / Be picked up in front of school
Be picked up at class
/
Picked up by Whom? : ___________________________
SPRING BREAK, April 1-8, NO CLASS
April 11, 18, 25; May 2, 9 @2:40-3:30pm
May 16 @ 2:40pm to 4:30pm*
COST: $120.00
ANNUAL TENNIS AFTERSCHOOL AWARDS
(Tentative Date/Location: *Tuesday, March 16th,
after 2:40PM-3PM tennis lesson, 3pm-4:40pm Tennis Afterschool Awards and Pot-Luck meal is
served at school multi-purpose room. Parents bring
water, juice, soda, pot-luck and camera!
Student Name: _____________________Grade:___
Any Allergies/medical concerns?
Parent/Guardian Contact Name:
__________________________________________
Email: ____________________________________
Phone: ___________(text, yes/no)
SEE ATTACHED WAIVER, Rules of Conduct,
Tennis Afterschool Attendance Card/Student
Absence and RAIN DAY
Contact: Program Director, text/email:
925-323-3382, [email protected]
Tennis Afterschool Spring 2017
Waiver Form - Mandatory for participation.
One form is necessary for each and every
student. Do not combine by family.
**THIS FORM MUST BE COMPLETED FOR ALL
STUDENTS PARTICIPATING IN AFTERSCHOOL
ENRICHMENT CLASS. YOUR CHILD WILL NOT
BE ABLE TO ATTEND CLASS UNTIL THE FORM IS
RECEIVED***
_____________________________has my permission to
participate in all PTA sponsored events for the
2017/18 school year.
The undersigned parent or guardian assumes all
risks in connection with the student’s
participation in any and all of the PTA
sponsored activities. I (we) hereby release and
discharge the Tennis Afterschool, Lei Larsen,
California State PTA, all PTA officers, employees
and agents from all liability, claims or demands
for any damage, loss or injury to the student, the
student’s property, or parent’s property in
connection with participation in these activities.
I do hereby certify that to the best of my (our)
knowledge and belief that my child is in good
health. In case of illness or accident, permission
is granted for emergency treatment to be
administered. It is further understood and
agreed that the undersigned will assume full
responsibility for any such action, including
payment of costs. I confirm that I have read the
afterschool enrichment information in the ASE
packet provided by our school/or at
[email protected]. I understand that
changes and late admissions are at the
discretion of the class vendor. I also understand
that my child cannot be left unattended before
or after class per our school principal and the
Walnut Creek Unified School District Policy and
that disruptive behavior is grounds for removal
from ASE programs without a refund. I (we)
hereby advise that the above named minor has
the following allergies, medication reactions or
physical condition which should be made known
to a treating physician or which could limit
participation: _____________________________________
Guardian/Parent Signature(s) & PRINT NAME
Date: _____________________________________________
SIGN SCHOOL WAIVER & THIS
TENNIS AFTERSCHOOL WAIVER
NOTE: Rules of Conduct/RacquetRules/
Tennis Afterschool ATTENDANCE Cards/
Reporting Student Absences/How to
Redeem RainDay Cancellation dates
A. Afterschool Enrichment Safety measures
READ school’s online Afterschool Policy.
B. Coach brings racquets, balls, nets, etc.
Students who bring their racquets to school,
must keep racquet inside their back packs, until Coach gives permission to
remove for lessons.
C. ATTENDANCE is taken daily. If your
student will be ABSENT, PLEASE ADVISE
Coach Larsen in writing a day in advance.
USE voice message, text or email: 925323-3382 or [email protected].
D. RAIN-DAY: Coach determines and
advises if class can be conducted indoors to
review tennis academic components.
----If a class is cancelled, during 2017
Spring session, Coach or student/families
may "save the date" to receive a 1 hour
tennis lesson during the summer
program Tennis Afterschool program.
Spring 2017 Tennis Afterschool ATTENDANCE Card: Coach
will "punch hole" in card to reflect attendance by
student. Card reads 10 lessons.
Example: If only 9 holes in card, then student can bring to
use for a 1-hour free lesson during Summer, 2017 tennis
lesson.
Contact: ALWAYS Coach Larsen for any
questions or comments.
Tennis Afterschool: Grades 1 - 5
INFORMATION SHEET
TUESDAY Tennis Afterschool,
Contact: Coach Larsen,
Email, [email protected],
925-323-1425 (text)
WHERE: Between MUSIC wall & Ball wall
WHEN: Tuesdays, 2:40pm to 3:30pm
DATES: February 28 - May 16 (10 lessons)
February 28 @ 3pm-5pm -Registration/
Parent/Guardian Meeting, "Meet & Greet",
students to be supervised.
March 7, 14, 21, 28 @ 2:40pm-3:30pm
SPRING BREAK April 1-8, NO CLASS
April 11,18,25, May2,9,16**@ 2:40-3:30pm
***Tuesday, March 16, Tennis Afterschool
Awards and Pot-Luck meal is served from
3:30pm-4:30pm at school, after tennis lesson.
PARENT MEETING:
Tuesday, February 28 @ 3pm-5pm
1. "Meet & Greet" @ ball wall. If rain, meet
in Kindergarten room.
2. Pick up/Fill-out Registration and Waiver
Forms.
3. Cost: $120, payable to TennisAfterschool
(Funds are not refundable since lessons
can be redeemed in the summer)
---If @ 2/28, Parent's Meeting: Fee can split into 2 payments,
1 due at registration, other at end of March. (Checks, cash
accepted/receipt given)
---If unable to attend 2/28 Parent Meeting, Deliver
Registration/Waiver forms with payment to 1612 Whitecliff
Way, Walnut Creek, CA 94596 by or before Monday, March
6th.
Coach to deliver a roster of all
participants ON OR BEFORE 3/6.
Coaches Corner: Since 2005, Coach
Larsen has provided Tennis Afterschool
lessons with a clean safety record! Lessons
are conducted in a non-competitive
environment with "goal-oriented" lesson
plans. Beginners start on the ball
wall. Intermediates practice consistency
and stroke production lessons on the
basketball court.
NOTE: Rules of Conduct/Rain Days/
Tennis Afterschool ATTENDANCE
CARDS /Student Absence
A. Afterschool Enrichment Safety measures
READ school’s online Afterschool Policy.
B. Coach brings racquets, balls, nets, etc.
Students who bring their racquets to school,
must keep racquet inside their back packs, until Coach gives permission to
remove for lessons.
C. ATTENDANCE is taken daily. If your
student will be ABSENT, PLEASE ADVISE
Coach Larsen in writing a day in advance.
USE voice message, text or email: 925323-3382 or [email protected].
D. RAIN-DAY: Coach determines and
advises if class can be conducted indoors to
review tennis academic components.
----If a class is cancelled, during 2017
Spring session, Coach or student/families
may "save the date" to receive a 1 hour
tennis lesson during the summer
program Tennis Afterschool program.
Spring 2017 Tennis Afterschool ATTENDANCE Card: Coach
will "punch hole" in card to reflect attendance by
student. Card reads 10 lessons.
Example: If only 9 holes in card, then student can bring to
use for a 1-hour free lesson during Summer, 2017 tennis
lesson.
REGISTRATION & WAIVER FORM (attached)