*You should receive a confirmation email upon submission of this form. If you do not receive a confirmation email, the form has not been successfully submitted.* General Tennis Program Registration Form Player's First and Last Name(*) Please let us know your name. Parent/Guardian First & Last Name (if applicable) Invalid Input Date of Birth(*) Invalid Input Street Address(*) Invalid Input Town(*) Invalid Input Cell Phone(*) Invalid Input Your Email(*) Please let us know your email address. Confirm Email(*) Invalid Input Need to Schedule an Eval? Complimentary 5-10 minute evals. Available to Members & Non-Members (Adult Complete Beginners do Not Need an Eval) & players ages 12+ applying to our Academy Level Programs. YesNoNot Sure Invalid Input Are you interested in Private Tennis Lessons ?(*) YesNoMaybe Invalid Input Current USTA/UTR Rating (If Known) Invalid Input Additional Information Invalid Input 1st TIME NON-MEMBERS (Additional steps required to continue registration for programming.) Please disregard if you are simply inquiring about our Racquets Department. We need to create YOU (Parent/Guardian/Adult) an account in our system for billing purposes. It is club policy to have a credit card on file, this account creation process will prompt you to enter in an active credit card. Please familiarize yourself with our Terms & Conditions. Please go to this website: - https://kingsburymed.clubautomation.com Click on the "Access My Account" button under “First Time Here?” Create An Account Once you have successfully created an account, please let us know via email - kcmtenniscoordinator@gmail.com We will then add specific permissions to yours/your child’s account enabling you to access the appropriate program registration. If you are registering your child we will create your child a profile and link them to your account. CLICK HERE FOR THE KINGSBURY CLUB MEDFIELD RACQUETS TERMS & CONDITIONS Disclaimer(*) I Agree to the Above Terms & Conditions. Invalid Input
