2020 Rancho Colorados Summer Junior Tennis Team Application
Child(ren)’s Name	All Jrs are on Performance Team	(circle one)	Date of Birth	Age as of 6/1	T-shirt Size*
P	M F
P	M F
P	M F
Rancho Membership #
Family Address

* T-shirt sizes: Youth Medium,Youth Large, Adult Small, Adult Medium, Adult Large, or Adult XL

Contact Information

Parents’ Names	Email Address (mandatory)
Home Phone	Child’s Cell #
Mother’s Cell	Business Phone
Emergency Contact	Emergency Phone

Healthcare Information

Doctor Name	Doctor’s Phone	Dentist’s Name	Dentist’s Phone
Insurance Provider	Policy #	List all Medical Conditions / Allergies

Parent Volunteers (Volunteer help is essential to the success of the team. Please sign up for one job below.)

Age Group Carpool Coordinator(Need 6 Volunteers)	Age Group Carpool Driver	Awards Ceremony	Coaches’ Gifts

Registration - Mail application and Payment to Brian Berry, 788 Glenside Dr. Lafayette Ca. 94549. Registration closes May 1st…

Make checks payable to Brian Berry. For Questions call Kim McCann at 788-0022 or Brian Berry at 283-5448.	$375 for Rancho Colorados Members
$475 for Non-Rancho Colorados Members

I give my permission for the above child(ren) to participate on the Rancho Colorados Junior Tennis Team. I understand that NO INSURANCE is provided by the Rancho Colorados Tennis Team or Club. In case of emergency, you are authorized to have my child treated by a physician.

Parent Signature_________________________________________________________	Date:___________________