Print This Page and Mail Along with Payment MADE OUT TO: Joele Hiers/Hiers Tennis 1348 Lincoln Avenue, St Paul, MN, 55105  *Upon receipt, you will be emailed a confirmation. *If you need to cancel, do so at least 10 days prior to the start of the activity to receive a refund (minus a $25 refund fee).  *Kids should wear a hat and sunscreen, bring a towel and water bottle. ____________________________________________________________ ***REGISTRATION AND WAIVER FORM*** Name of Participant:_________________________________________ Participants date of birth:_____________________________________ Drill/Program Name:_________________________________________ Session/Dates:_____________________________________________ Days:__________________________ Times:_____________________ Phone:_______________________________ Emergency name and ph #:___________________________________ Email address (REQUIRED):___________________________________ Amount enclosed:$___________ Waiver of Liability: I hereby agree to specifically assume all risk of injury to me and/or dependents while participating in any Hiers Tennis programming, and I hereby wave any and all claims or actions I may have against Joele and Greg Hiers and/or the coach as a result of such injury. ________________________________________ Date__________ Signature of participant or guardian of