Glen Head Racquet Club Registration Form "*" indicates required fields Is this application for an adult or a junior player* Adult Junior Player Name* First Last Parent/Guardian Name* First Last Player Date of Birth DD slash MM slash YYYY (For Jr. Applicants)Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Mobile*Business PhoneHome PhonePro Request Day RequestSundayMondayTuesdayWednesdayThursdayFridaySaturdayPlease select up to 3.Time Preferred AM PM Jr. and Adult ProgramsCardio Tennis Programs - Adult $45 per session Tuesday/Friday - 9:30 - 11:00am Saturday/Sunday 7:30 - 9amLessonsPrivate Lessons - 17 Weeks 1 Hour $2640 (Dep $880) 1/2 Hour $1470 (Dep $490) Private Lessons - 34 Weeks 1 Hour $5100 (Dep $1700) 1/2 Hour $2760 (Dep $920) Semi-Private Lessons (17 Weeks) 1 Hour $1440 (Dep $480) 1/2 Hour $825 (Dep $275) Semi-Private Lessons (34 Weeks) 1 Hour $2715 (Dep $905) 1/2 Hour $1485 (Dep $495) Group of 3 (17 Weeks) $1,095 (Dep $365) Group of 3 (34 Weeks) $2,040 (Dep $680) Group of 4 (17 Weeks) $795 (Dep $265) Group of 4 (34 Weeks) $1,530 (Dep $510) Quick Start $720 (Dep $240) Wednesdays 3:00-4:00Drill & Intermediate Match Play $1,950 (Dep $650) Sunday - 2:30 - 5:00PhoneThis field is for validation purposes and should be left unchanged. Δ
