National Junior Tennis League Program

Printable Registration Form

$10.00 per student — make check payment to “National Junior Tennis League"

Mail to:

High Desert Tennis Association
PO Box 400200
Hesperia, CA 92340

Name: ..................................................................................................................................

Address: ................................................................................................................................

City: ....................................................................................................................................

State: ...................................................................................................................................

ZIP: .....................................................................................................................................

Age: .....................................................................................................................................

Birthdate: ..............................................................................................................................

School and city: .....................................................................................................................

Phone: ..................................................................................................................................

Parent’s name: ........................................................................................................................

Emergency phone: ..................................................................................................................

Mark the site/Date/Time for the selected class. Classes meet 4 days per week for 3 weeks.

Site	Begin date	Time	Location
Hesperia	June 18th	8:00 a.m.	Hesperia HS
Hesperia	June 18th	6:00 p.m.	Hesperia HS
Victorville	June 18th	9:00 a.m.	Victor V. HS
Victorville	June 25th	5:00 p.m.	Doris Davies Park
Victorville	June 25th	7:00 p.m.	Doris Davies Park

Waiver:

The parent and/or guardian of participant in the USTA/NJTL does release, discharge, and indemnify the Southern California Tennis Association, Amateur Athletic Foundation, and all other program sponsors, consultants, and volunteers, and the successors, assigns, officers, employees, and trustees of the aforementioned entities from all liability for injury to the participant or damage to property of participant.

X..........................................................................................................................................
Signature of parent or legal guardian

____ Please check here if you have been enrolled in the USTA/NJTL in the past.

____ Parents, please check here if you are interested in volunteering your assistance to the program. Contact the site coordinator for further information.

Program sites:

Hesperia High School, Maple Avenue, Hesperia
Doris Davies Park, Victorville
Victor Valley High School, Victorville

760/240-6698 information — all sites