1 player information Family Name: First Name: Address (Home Country): Address (in USA): Phone: Sex: Male Female Country: Zip: Mobile and Carrier: Date of Birth (mm/dd/yy): Email Address: Country of Citizenship: Emergency Contact(s): 2 player information II Family Name: First Name: Address (Home Country): Address (in USA): Phone: Sex: Male Female Country: Zip: Mobile and Carrier: Date of Birth (mm/dd/yy): Email Address: Country of Citizenship: Emergency Contact(s):
3 program information Please check the program you wish to take Full Time Weekly After School Spring Break Summer Camp Quick Start Summer Camp Competitive Summer Camp Winter Camp Competitive Winter Camp Quick Start Winter Camp Miami Open Week December International Junior Competitive 12 & Under + English + Boarding Please check Additional Services Private Lessons Massage Anthropometric Evaluation Physiotherapist Video Analysis Sports Psychologist Tennis Level: Beginner Intermediate Competitive What date will you begin your training?(mm/dd/yy): How many weeks will you train?: Airport pick-up & drop off: Yes No $35 Service Fee Miami International Airport $30 Fee Fort Lauderdale Airport + Parking fees Airport Arrival: Date Arrival: Airline: Flight Number: How did you hear about Cañas Tennis?: 4 insurance and medical information Are there any medical issues we should be aware of? Yes No If yes, please describe: Emergency contact Name: Telephone: Relationship
5 deposit and fees Please complete this section to calculate fees & payments required Tuition Fee: Additional Services: Additional Services: Additional Services: Total Required: 6 payment Payment may be made in one of the following ways. Please select one: CREDIT CARD: Visa Master Card American Express I authorize Cañas Tennis to charge US $ to my credit card no. with Expiration Date / in the name of Sec. Code WIRE TRANSFER: Send payment to: CitiBank 120 South Biscayne Blvd., Miami, FL 33131 USA. Account Number: 3290354181 ABA/Routing Number: 067004764 (For domestic use only) ABA/Routing Number: 266086554 Swift Number: CITIUS33 (For international use only) Name and Beneficiary Address: Canas Tennis Academy LLC, 19735 Turnberry Way, Aventura, FL 33180, USA. Amount of Transfer: (include $20 bank fee if outside US) Account Name: Your Bank Name: Account Number: CHECK (drawn on a US Bank). Make checks payable to Cañas Tennis Academy: I enclose payment of US $
7 Terms and Condition of Admission DRESS CODE Cañas Tennis does have a dress code in effect during all academy hours. This code has been developed to increase the enjoyment of the game for all of our players and guests. All academy players and guests at Cañas Tennis are expected to abide by the dress code at all times. Failure to follow the dress code will result in the loss of playing privileges. The Dress Code must be followed as outlined below. Men s Dress Code Shirts/Tops Tennis shirts and t-shirts of any colour Solid coloured collared sports shirts Dry-fit sleeveless shirts designed for tennis are permitted Shirts must be worn at all times Shorts: No jean, walking, swim, Bermuda, bicycle, rugby or shorts with patterns (floral or loud) Shoes: Approved tennis shoes only. No jogging, running, or marking shoes on court. Women s Dress Code Shirts/Tops Short sleeve or sleeveless tennis shirts and t-shirts of any colour Solid colour collared sports shirts No cut-offs not designed for tennis Shorts: No jean, swim, bermuda, bicycle, rugby or shorts with patterns (floral or loud). Skirts/Dresses: Must be made specifically for tennis. Shoes: Approved tennis shoes only. No jogging, running or marking shoes on court. Why Enforce a Dress Code? Provide a professional sports person attitude on the courts. Create a stronger sense of club spirit. Clearly define the difference of club/academy hours versus public court times. Maintain and enhance the image of Cañas Tennis as one of the best in the state. Note: Repeat dress code violations can result in loss of playing/trainning privileges. I certify that I am the guest/participant and/or the parent of the guest/participant and agree to these terms and policies as evidenced by my signature Participant or Parent/Guardian s Signature: Date: