REGISTRATION FORM

Welcome! Thank you for registering for Summer Camp 2026. If you are registering for multiple campers, a separate form for each child must be completed. After registration please make direct payments by Zelle (661.706.8858) or mail checks to Regina Csibi Tennis (205 Rio Bravo Dr. Bakersfield, Ca 93309). Charter school students must provide certificates.

Camper's First Name

Camper's Last Name

Camper's Birthday

Month

Day

Year

Experience Level

Beginner

Intermediate

Advanced

Parent's/Guardian's Name

Address

Email

Phone

Session June 1-5

Payment Method of $400/week

Zelle (661.706.8858)

Check

Cash

Charter School Certificate

I hereby authorize the staff of Regina Csibi Tennis Camp to act for me according to their best judgement in any emergency where my child may require medical attention. I hereby release the camp and its instructors from any injuries incurred by my child while attending camp. I have no knowledge of any physical impairment that would interfere with my child’s participation in this camp.

Date

Month

Day

Year

Signature

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