FORM-APPL-NYKATA-FRI .I 16-17
circle where applicableNEW
Fri.II Fri.I
RENEW
Application for 2016~’17 NYKATA Tennis School
At the USTA ‘Billie Jean King’ National Tennis Center
By New York Korean-American Tennis Association
-- FRIDAY Program 1 – Group lesson
§ Friday nights 8:30~10 pm. Starts 09/30/2016, Ends 05/19/2017 <No class 11/11,11/25,12/23,12/30
§ $1,080/year or $400/semester + Registration Fee, Free trial available!!
§ 6 classes by evaluation (from Novice to Advanced Intermediate), Group Lesson
Name / 한글Korean / 영문English / First Name Last NameContact / Cell Phone
E-mail /
Parent’s contact information, If applicant is under 18,
phoneAddress / ······················· /
Emergency Contact Phone:
Relationship: Name:
Name / Birth Datemm/dd/yy / Tuition
Family Discount*2 / By Semester / Cash or Check # / Paid date
1st / $1,080 / ①$400
②$400
③$400
2nd If 2nd person of your family is participating, / + $980*2 / ①$400
②$400
③$400
3rd If 3rd person of your family is participating, / + $880*2 / ①$400
②$400
③$400
① Registration fee is only for NEW applicant. Non Refundable
② According to NYKATA’s financial support policy,
‘Family Discount’ is applicable only when you pay tuition at once (before or) on the first day of the program. 가족할인 혜택은 등록시 일시불로 내는 경우에만 적용됩니다. / ①Registration Fee $30
TOTAL $
cash ·········· paid $
check # ………. paid $
notice
ü Send this Application form and your Check to Julie Choi, 211-35 23rd Ave. Apt #3A. / BAYSIDE, NY 11360
ü You may bring check or cash on the first day of school, but seats are NOT guaranteed.
ü Please, make check payable to: NYKATA. Sorry, we do NOT accept Credit Cards.
ü Any questions? Visit our website www.NYKATA.org or email to
ü We cooperate and follow the USTA NTC’s program rules and regulations.
Must-read.. Participant acknowledges the physical dangers and risks inherent in playing tennis and Participant freely and knowingly assumes all such risks. Participant releases, discharges and holds harmless the NYKATA, the USTA NTC and the City of New York from and against any and all claims resulting from Participant’s participation in the program or any event related thereto, including claims such as negligent acts or omissions of NYKATA or USTA NTC.
______Date:______
Signature of Participant (or Legal Guardian if participant is under 18)
*1 Number of Weeks subjects to change without notice.
*2 Family Special Discount: Thanks to NYKATA’s support, if you pay full family member’s tuition at once before starting, you can get 10% discount for
every additional family member + Only $30 registration fee regardless of numbers of family member.
Family discount is ONLY applied to SAME address family members. NO in-laws and friends. NO Family Discount for Thursday program.
THE NEW YORK KOREAN-AMERICAN TENNIS ASSOCIATION IS A NON PROFIT 501 (C) TAX- EXEMPT ORGANIZATION
16 WALDO Ave. Greenvale, NY 11548 / EMAIL: , WEB: www.nykata.org