EAST BRUNSWICK RACQUET CLUB

225 Highway 18   East Brunswick, NJ 08816

732-247-1706 fax 732-247-0484

JTP Registration Form

Child’s Name: Last: __________________ First: _________________

Birthdate: ____________________________

Parents’ names: Last: _________________ First: __________________

Home Address: ______________________________________________

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Home phone: (___)_____________ Cell phone: (___)_____________

Level (circle one):
Tots Pee Wees Beginner Advanced Beginner

Intermediates Advanced Intermediates Advanced

Availability and other information: ______________________________________________________________

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