Summer Tennis Registration

NEBRASKA’S PREMIER PRIVATE COUNTRY CLUB!

(402) 488-6467

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Parent Name:*	Name of Member to be Billed
Member/Non-Member:*	MemberNon-Member
E-mail:*
Phone #:*	()-First three digitsSecond three digitsLast four digits
Payment:*	Charge to Member Account Check
Child #1 Name:*	First & Last name of Child #1
Child #1 Date of Birth:*	Date and timeToday Enter Child #1's Date of Birth
Child #1 Session:*
Child #1 Class:*
Child #1 Amount of Classes:*	1 Day per Week (4 classes) 2 Days per Week (8 classes) 3 Days per Week (12 classes)
Child #1 Day(s) Attending:*	Tuesday Wednesday Thursday
Child #2 (If Applicable):	First & Last Name of Child #2
Child #2 Date of Birth:	Date and timeToday
Child #2 Session:
Child #2 Class:
Child #2 Amount of Classes:	1 Day per Week (4 classes) 2 Days per Week (8 classes) 3 Days per Week (12 classes)
Child #2 Day(s) Attending:	Tuesday Wednesday Thursday
Child #3 Name (If Applicable):	First & Last Name of Child #3
Child #3 Date of Birth:	Date and timeToday
Child #3 Session:
Child #3 Class:
Child #3 Amount of Classes:	1 Day per Week (4 classes) 2 Days per Week (8 classes) 3 Days per Week (12 classes)
Child #3 Day(s) Attending:	Tuesday Wednesday Thursday

Firethorn Clubhouse
9301 Firethorn Lane
Lincoln, NE 68520

The Resort
8855 Resort Drive
Lincoln, NE 68520