REGISTRATION FORM

Welcome! Thank you for registering for Summer Camp 2025. 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 (6077 Coffee Rd Ste 4 PMB 1034 Bakersfield, Ca 93308). 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

T-shirt Size

Session June 2-6

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