Junior Program Registration Form (9 & 10)
Our junior program is amongst the best in Rochester, using dynamic drills and games to not only improve our players, but they motivate our youngsters to play, compete, and become lifelong players. With days and times for all sizes and levels, our goal is to get kids rallying faster through active and engaging drills, games, and various match play situations. Our staff is trained to create an atmosphere for fun and learning at all levels by using courts and equipment appropriate for your child’s age and level.

*Please note, ALL groups will have a 6:1 (student:teacher) ratio. Space is limited and advanced notice of any cancellations is required.

You Will Receive Confirmation Within 48 Hours
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Email *
‘22 Winter 1: Saturday November 5th - Friday, December 23rd (7 Weeks)
Be aware that when you register for a class, that you are registering for the same time each week. Number of classes per session vary depending on the Harley school special events and holidays, whether federal or religious.
Child First Name: *
Child Last Name: *
Age: *
Gender: *
Name of Primary Parent Contact *
Phone Number: *
Address
Address Line 1: *
Address Line 2:
City: *
State: *
ZIP Code: *
How did you hear about us?
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ENTRY LEVEL OPTIONS (choose day/time within preferred month)
SATURDAY 10:00 AM - 11:00 AM
SATURDAY 2:30 PM - 3:30 PM
SUNDAY 9:00 AM - 10:00 AM
SUNDAY 2:00 PM - 3:00 PM
MONDAY 5:30 PM - 6:30 PM
TUESDAY 4:00 PM - 5:00 PM
November 5th - December 2nd (4 weeks)
December 3rd - December 23rd (3 Weeks)
INTERMEDIATE LEVEL OPTIONS (must have previous tennis experience)
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Please tell us about your child's tennis background, playing level and/or any food allergies: *
Corona Virus (Covid-19) - We are doing our best to keep players and staff safe and want to create a safe playing environment for all. Please answer the following questions truthfully and to your best ability. *
Yes
No
Within the past 14 days have you knowingly been in close proximate contact with anyone who has tested positive for COVID-19 or who has/had symptoms of COVID-19?
Have you tested positive for COVID-19 in the past 14 days?
Have you experienced any of these symptoms of COVID-19 in the past 14 days? ie. Fever 100F or greater, shortness of breath or difficulty breathing, fatigue, muscle or body aches, new loss of taste and/or smell
I have read and hereby accept the conditions described below: *
I understand and acknowledge the risk of injury is inherent in any program involving physical activity. I hereby waive and release any rights and claims for damages I may have against The Harley School, Empire Tennis LLC, Director of Tennis, or any of the professionals, for any and all injuries sustained by the player. I also hereby give my consent to medical emergency or otherwise, inclusive if necessary transportation in order to receive such treatment in the event of injury or any other illness.  Empire Tennis LLC reserves the right to video tape or take pictures for educational or promotional use.
Required
A copy of your responses will be emailed to the address you provided.
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