Westboro Tennis & Swim Club Participant Application Form

Participant First Name

Participant Last Name

Address 1

Address 2

City

State

Postal Code

Home Phone

Cell Phone/Work Phone

Email Address

Participant's Date of Birth

Participant's Gender

Parent/Guardian Name (if junior)

Emergency Contact (name & number, if different from above.)

Participant Information

This Participant Application allows people who are not Club Members to take certain programs and classes normally only available to Members. Any non-member who completes this application will be entered in our system as a Participant, and will be able to register for classes during non-member enrollment periods of eligible programs. Participants must indicate a method of payment for their first program signup (below). That method will be charged upon processing of this application and confirmation of program availability by our staff. Participants have the option of leaving this payment method on file for future transactions; however, Summer Camp Applicants must leave this on file. Once you fill out this form, you will not have to fill it out again for any future programs. It is important that you provide us with a valid, working email address. Your receipt and Online Credentials will be emailed to you once your application is processed. Once you receive your online credentials, you may view your account online at any time, as well as sign up for programs in the future during non-member enrollment periods. Whether you leave your payment method on file with us, Participants may choose other payment methods at the time of future program registration. If you do not receive your login information within a week of submitting this form, please email us and let us know! In order to register for programs in the future, during non-member registration periods, Participants may 1) Call the Club, 2) Sign up in person at the front desk, or 3) Sign up online using your login information. Participants must pay a $20 annual fee at time of registration.

Club Policies

Club Policies are available in our Member Handbook.

Cancellations

Session Signup Programs: Full session credit if cancellation is 7 days prior to start of program (14 days if prior to the start of a program for Tennis Clinics) Weekly Signup Programs: Full charge for the day if less than 48-hour notice. Private Tennis Lessons & Private Swim Lessons: Full charge for lesson if less than 48-hour notice. No Shows/Late Cancel: Full rate will be charged for any lesson or program. Personal Training: Full charge for the day if less than 24-hour notice.

Withdrawals

No credit unless slot can be filled.

Make-Ups

Due to the size and popularity of our classes, we are unable to permit make-ups and there are no make-ups for classes missed. Classes cancelled by Westboro Tennis & Swim Club may have a scheduled make-up, but no refund will be given. No credits/refunds will be issued should you choose not to or be unable to attend a make-up for any reason.

Liability Release

By signing below, I agree that I am familiar with the risks and perils inherent in all activities conducted at the Westboro Tennis & Swim Club, am aware of the risks of personal injury to myself, spouse, and my children when undertaking such, and voluntarily assume and, in the absence of gross negligence or recklessness, hereby release and indemnify the Westboro Tennis & Swim Club, its successors and/or assigns, including agents, officers, and employees of the Westboro Tennis & Swim Club and its successors and/or assigns, from all risks associated with my and/or my children’s, spouse’s, or guests use of the property which is the subject of the membership or usage agreement. I also agree to hold the same harmless to the extent allowed by Massachusetts law for any and all losses or personal property or damage to personal property, including theft, associated with my use or presence on grounds owned or leased by the Westboro Tennis & Swim Club, its successors, or its assigns. I also agree to follow all of the Club policies and procedures, understand all of the pertinent refund policies above, and have reviewed the Club’s policy booklet available online.

Electronic Signature

Health History (of applicant)
(select all that apply)

None Apply

Has a doctor ever said you have heart trouble?

Do you frequently have pain in your heart and/or chest?

Do you often feel faint or have spells of severe dizziness?

Has a doctor ever said your blood pressure is too high?

Has a doctor ever said that you have a bone problem that might get worse with exercise?

Has a doctor ever said that you have a joint problem that might get worse with exercise?

Is there a physical reason why you may not follow an activity program even if you wanted?

Are you over age 65 and not accustomed to vigorous exercise?

Program Name (refer to our seasonal brochure for name, dates, session and time))

Program Day

Program Time

Session Start Date

Payment Required Prior to Enrollment

You/your child will not be registered for this class until payment information has been received, and the class has been fully paid for. For faster processing, please call 508-366-1222.

Payment Required Prior to Enrollment
(select all that apply)

I understand:

Payment

Credit Card Information is required and will be kept on file for future charges. You may still pay by cash or check at time of sign-ups in which case your card on file will not be charged. Once the application is received, a member service representative will contact you to process the payment for the Program you applied to above. YOU/YOUR CHILD WILL NOT BE ENROLLED INTO THE PROGRAM UNLESS PAYMENT HAS BEEN PROCESSED. Participants must pay a $20 annual fee at time of registration.

Email List

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