Waitlist Tennis Program Please enable JavaScript in your browser to complete this form. – Step 1 of 3Enrollment TypeFamily ParticipantsSingle ParticipantPrimary Name *FirstLastThe primary account holder will receive billing statements and have access to all other activities of those linked to the primary account.Birthdate *Gender *Choose From DropdownMaleFemaleNon BinaryOther / UnspecifiedHome Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Email *Used for invoices and communicationsPrimary Cell *Primary HomeBilling Statement Preference *E-mailSnail MailSpouse/PartnerFirstLastPlease include accurate phone # and e-mail for Spouse/Partner/secondary account. Notifications for the family can be adjusted in settings once your receive access to our portal.Spouse/Partner BirthdateGenderChoose From DropdownMaleFemaleNon BinaryOther / UnspecifiedSpouse/Partner EmailSpouse/Partner CellChild 1FirstLastChildren must be under the age of 25. Please make sure to enter accurate birth dates for all children.Child 1 BirthdateChild 1 GenderChoose From DropdownMaleFemaleNon BinaryOther / UnspecifiedChild 1 EmailPlease include if child is old enough to receive their own notificationsChild 1 CellPlease include if child is old enough to receive their own notificationsChild 2FirstLastChildren must be under the age of 25. Please make sure to enter accurate birth dates for all children.Child 2 BirthdateChild 2 GenderChoose From DropdownMaleFemaleNon BinaryOther / UnspecifiedChild 2 EmailPlease include if child is old enough to receive their own notificationsChild 2 CellPlease include if child is old enough to receive their own notificationsChild 3FirstLastChildren must be under the age of 25. Please make sure to enter accurate birth dates for all children.Child 3 BirthdateChild 3 GenderChoose From DropdownMaleFemaleNon BinaryOther / UnspecifiedChild 3 EmailPlease include if child is old enough to receive their own notificationsChild 3 CellPlease include if child is old enough to receive their own notificationsChild 4FirstLastChildren must be under the age of 25Child 4 BirthdateChild 4 GenderChoose From DropdownMaleFemaleNon BinaryOther / UnspecifiedChild 4 EmailPlease include if child is old enough to receive their own notificationsChild 4 CellPlease include if child is old enough to receive their own notificationsNextEFT Authorization This agreement will enable Autopay for your RC account. EFT’s will occur on the 6th of each month for balances accrued through the end of the last month. You must either enter bank information, or put a credit card on file. *Credit Cards will be charged a 3% fee. ACH payments will be charged a 0.01% fee. Bank Account NameBank Account NumberRouting NumberCredit Card NumberExpiration DateCard Security CodeEFT Terms and Agreement *I agree to the terms below and wish to enable Autopay for incidental charges on my Racquet Club of Ann Arbor AccountRacquet Club of Ann Arbor membership includes access to a house charge account to be used for service and incidental purchases during the month. The Electronic Funds Transfer (EFT) system retains Credit Card or banking information that is processed at the end of each billing period to pay the balance on this account via Credit Card charge or Automated Clearing House (ACH) bank transfer. I hereby authorize the Racquet Club of Ann Arbor to Debit the Credit Card Provided or the Bank Account referenced herein, via the Automated Clearing House (ACH) system, according to the parameters specified herein. This authority will remain in effect until the payment(s) are completed as specified herein. If a payment is returned for any reason I acknowledge that I am subject to a rejected item fee of $25 or the maximum amount allowed by law. The use of Credit Cards may be subject to a CC convenience fee of 3% on future charges.NextType Your Name to Sign Here *I agree that all names and information provided is accurate and represents my immediate family that lives in my home. Non-immediate members living temporarily in my home are not included. I am responsible for the accuracy of all information provided and understand that providing false information can result in suspension or expulsion of my participation per the Club Bylaws. Please contact us at info@a2racquet.com to add additional children to your account.MessageSubmit
