Pine Lake Tennis Guest Registration

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Contact Information

Contact Name*

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Date of Birth*

Email*

Phone*

Address*

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Emergency Contact Person*

Emergency Contact Phone*

Comments

I accept full responsibility for my use of any and all apparatus, appliances or facility privilege or service whatsoever, owned and operated by Columbia Athletic Clubs at their own risk and shall hold the Club, its shareholders, directors, officers, employees, representatives, and agents harmless from any and all loss, claim, injury damage or liability sustained or incurred by my child resulting therefrom.

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