FSU Tennis Camp Registration Form

Name : ______________________________________________________

Email : _________________________________

Mailing Address :

[line 1] : ______________________________________________

[line 2] : ______________________________________________

City : _________________ , State : ________ , Zip Code : ________________

Day Phone : (_____) ______ - __________ , Date of Birth : ___ / ___ / _____

Home Phone : (_____) ______ - __________

Team or High School : _______________________________

Have you previously attended one of our camps? _____(yes) , _____(no)

(Adult) - NTRP Rating : __________________________

(Junior) - High School Team Rating : __________________________

Roommate Preference : ________________________________________________

Circle Camp Type : Individual, Team, Day - Camp Code : ___________

Camp Date : ___ / ___ / ______ (1st choice)

(2nd choice) : ___ / ___ / ______ * - (see list below for dates & pricing) - *

____ Individual Resident

____ Team Resident**

____ Commuter

** Team plan requires at least 4 teammates registered together

_____ Check payable to "FSU Tennis Camps"

_____ VISA credit card

_____ MasterCard credit card

_____ Discover credit card

Credit card number : _______ _______ ______ ______ , Expires on : ___ / ___ (month/year)

Amount Authorized : $_______ . ___

Cardholder Name (please print) : ___________________________________

Signature : ______________________________________

Mail or fax this form with your deposit or full payment to :

FSU Tennis Camps

14342 Northland Drive

Big Rapids, MI 49307-2373

Fax: (231) 591-5018

- Additional information will be sent to you upon receiving your application & deposit or payment.

Juniors: Take advantage of our special Early Registration Discount. If you register by April 15th, take $20 off per session.

Please contact Jessica Menold @ (231) 591-3691 for team rates and registration information