Contact Information
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First*  Last*
Date of Birth:*     Day   Month   Year
Summer Address*
Summer Phone* Work Phone
Permanent Address*
Zip Code*
Home Phone* Cell Phone*
Employer's Name* Job Title*
Emergency Contact* Emergency Phone*

Other Names
Name of Spouse:
Names of Children:            Age                                                    Level of Play

How did you hear about us?*

I understand and acknowledge that the risk of injury is inherent in any program involving physical activity. I, *hereby waive and release any and all full rights and claims for damages I may have against Gotham Tennis Academy - Montauk, Gotham CITY Tennis, LLC, the program directors, and tennis professionals, for any and all injuries sustained by the player. This includes transportation to and from the program in connection with any participation in programs at the napeague tennis club. I so hereby give my consent to medical emergency or otherwise, inclusive of necessary transportation in order to receive treatment in the event of injury or any other illness.

Please check below if you would like to hear more about:
Gotham Montauk Summer Camp
Private Tennis Lessons for Adults
Private Tennis Lessons for Children
Group Clinics for Adults
Group Clinics for Children
Member Adult/Children Tournaments
Member Adult Tournaments
Member Children Tournaments
Professional Exhibitions/Clinics at Gotham Montauk

From time to time, Gotham Tennis Academy receives special tennis discounts and promotions.
Please let us know if you would like us to contact you about any of the following:
Tennis Vacations
Tennis Equipment
Tennis Clothing
Tickets to the US Open
Tickets to Other Grand Slams (i.e. Wimbledon, French, Australian)
Tennis Magazines
Tennis Books
Tennis Videos
Tennis Seminars - Please specify topic of interest
Other - Please specify