* * *Application for SCWDC Tennis Weekend * * *

Date of EVENT Location _

Name Member (Circle) Yes No Sex (Circle) M F

Address – street _

City/ST/Zip _

Email Address _

Phones (Home) (Cell/work) _

ROOMMATE PREFERENCE, if any Do you SNORE? Y N

EMERGENCY POINT OF CONTACT (POC): Name: _

POC Phone: Relationship: _

Any important medical conditions that SCWDC should be aware of (or discuss with leader in advance):

_

Amount Enclosed . Send check, payable to SCWDC, to leader.

Tennis level (Circle): Adv beginner (2.5-3.0) // Intermediate (3.0-4.0) // Advanced (4.0 & above)

Disclaimer:  I understand that in consideration for the privilege of participating on this Tennis Trip sponsored by the Ski Club of Washington DC (SCWDC), I hold the SCWDC, its officers and its trip leaders, free from fault or liability for any injuries or losses sustained in connection with this activity. 

Signature Date