Nicolet Registration Form (please print and mail when finished)

Check possible  weeks of attendance for Grand Slam Training  (Monday-Friday  8:00-10 am)  and  Challenger Training (Monday-Friday  10:00-12:00 pm):     Cost $125.00 per week or $30.00 per day
  June 22-26
  June 29- July 3
  July  6-10
  July  13-17
  July 20-24
  July 27-31
  August 3-7
  August 10-14

Cardio Tennis Tuesday & Thursday  7 a.m.
Cost $12  per class,  PLEASE  CALL  Tim Koppa at 414-852-4563  for more  information and to Register!!!

Total: ________

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Parent Name

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Child Name

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Address

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Phone

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Email 

Circle adult  T-shirt  size: S M  L XL  Level  of play requested:  ___ Grand  Slam  ___  Challenger

Complete this form for each participant - form may be duplicated.
mail with payment to:

365 W. Lilac Lane
Grafton, WI  53024

Checks payable to: Tim Koppa

Please call with any questions you may have with the registration.
414-852-4563

I hereby waive and release the camp directors, camp support and Nicolet High School liability for any injuries and illnesses incurred while at camp. I hereby warrant that my child/myself is a participant in this program.

Parent/Legal Guardian/Adult Participant Disclaimer

Signature ___________________________________________________

Date  ___________________