Online Camp Registration Form

Youth Information

Parent/Guardian Information:

Pick-up Authorizations:

Authorizations:

By initialing, I give permission for my child, so named above, to participate in all activities.
By initialing, you give Tennis Without Limits permission to take and use any photographs or other media, without limitation or obligation, of your child to promote Tennis Without Limits now or in the future.
By initialing, I recognize that Tennis Without Limits will do its best to ensure a safe experience, I understand that accidents may occur both from my child’s participation in program activities and from transportation to/from the program. I agree to assume these risks. By clicking above, I release Tennis Without Limits and its authorized staff from all liability based on any damage, loss, or injury whether the result of ordinary negligence or otherwise, caused to my child or to me from participation in Tennis Without Limits programs.

I have read and understand the above application and do hereby attest the information provided by me on this and other related program forms to be correct and completed to the best of my ability giving permission to Tennis Without Limits to provide the services indicated.

Code of Conduct Policy and Form

Tennis Without Limits exists to offer underrepresented youth exposure to the game of tennis through sports and personal development training. Our organization is committed to conducting all affairs with integrity and care. Program participants have a responsibility to hold themselves to the highest degree of sportsmanship, integrity, and honesty—even if it means the loss of a point, game, and—yes—even a match. Additionally, program participants are to be timely, fully present, and respectful of others at all times. Failure to participate in a proper manner may result in expulsion from the program. By signing this agreement, the program participant and parents agree to the following:

  • Attend every session offered.
  • Be on time.
  • Follow the schedule.
  • Comply with all directions and requests of instructors.
  • Be attentive.
  • Participate in all activities.
  • Help other participants if you can.
  • Practice correct tennis form.
  • Do not talk back or argue with the coaches.
  • Nor horse playing.
  • No bullying allowed.
  • Keep your hands to yourself.
  • Have your equipment ready.
  • Do not post any pictures of participants or staff on social media without the consent of the individual.
  • No drugs, weapons, tobacco products, or alcoholic beverages are allowed.
  • No fights, arguments, gossip, or other verbal or physical expression that is offensive, demeaning, or of any sexual nature.
  • Wear clothing in a neat and clean appearance.

Medical Release Information

Health History

The information you provide here will be held in the strictest confidence. It will be kept in our confidential records. This information will be shared with other key program staff only on a “need to know” basis. Since this is our first resource in the event of an emergency, it is important that you be a specific as possible.

Insurance Information

For Medicaid

Allergies & Medical Conditions

Medications (inhalers included)

Tennis Without Limits at this time is not equipped to administer medication. Children that need to take medication must take it before arriving to the tennis courts. The only exception is for children that may need an inhaler from time to time. Children that need an inhaler must always keep the inhaler in their possession and be able to administer the medication on their own. In this instance, we ask that staff is made aware that an inhaler may be needed during the hours of the program.

Past Surgeries & Treatment