Tennis League Registration Form
Name:
Street Address:
City, State ZIP
Age: 5 6 7 8 9 10 11 12 13 14 Gender: Male Female T-Shirt Size: Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult XLarge
Birth Date: (MM/DD/YYYY)
Parent or Guardian Name:
Contact Phone Number:
Alt Emergency Contact Name:
Alt. Emergency Phone Number:
Email Address:
Physical Limitations:
Where did you hear about Audience 1 Sports : Newspaper Radio Advertisment Flyer Web Site Friend School Email Facebook Other
You can pre order the same shirt design your child will be receiving. The purchase can be added to the registration fee. Available styles and prices are:
T-Shirt -$10.00(each)
Long Sleeve T-Shirt -$15.00(each)
Sweatshirt -$20.00(each)
Hooded Sweatshirt -$25.00(each)
First Apparel Selection For Purchase: None T-Shirt($10) Long Sleeve T-Shirt($15) Sweatshirt($20 each) Hooded Sweatshirt($25) Quantity: 1 Size: None Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge
Second Apparel Selection For Purchase: None T-Shirt($10) Long Sleeve T-Shirt($15) Sweatshirt($20 each) Hooded Sweatshirt($25) Quantity: 1 Size: None Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge
Third Apparel Selection For Purchase: None T-Shirt($10) Long Sleeve T-Shirt($15) Sweatshirt($20 each) Hooded Sweatshirt($25) Quantity: 1 Size: None Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge
Note: Please add the total for Additional Apparel Purchases into the registration fee check.
Make Checks Payable To: Audience 1 Sports, INC Mail Payment To: 508 Fern Drive Campbellsville, KY 42718
*NOTE: Liability Release Form MUST Accompany Payment
Liability Form Please right click on link and choose "Save Target As" to download PDF file
Contact Email Address: jasonengland@audience1sports.com
Would you like to Donate to Audience 1 Sports? Donate Online with Google Checkout Below.