Membership Application
Name:
Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Cell Phone:
Email:
Type:
Student - $30
Individuals - $110
Couples - $165
Family - $200
I do hereby assume full responsibility for any and all damages, injuries or losses that I may sustain or incur, if any while attending or participating in any club activity. I hereby waive all claims against the Binghamton Tennis Center, its instructors, or partners of said program, individually or otherwise, and for any and all claims for injuries and damages that I might sustain. I do understand that there is risk of injury associated with participating in any club exercise, program or sports activity and I certify that I am good physical condition and have no known disabilities that might otherwise be detrimental to my health or well being. I certify that all the information provided on this application is correct and true.
I Agree:
Initials: