School Vacation Sign-up Form

Please fill out the consent form below completely. You can sign up for as many sports, programs and sessions that you would like. Once you submit this form you will be taken to the order page. Note: An "*" by a field means it is required.

TERMS OF PARTICIPATION

I, the parent/guardian of the registrant, understand and accept the condition that neither In The Net Sports Academy (ITNSA) nor anyone associated with ITNSA will assume any responsibility for accidents and medical or dental expenses incurred as a result of participation in an ITN program.  I certify that the applicant is in good health and able to participate in the physical activity of a vigorous program.  In the event of injury, ITNSA has my permission to obtain medical care.  ITNSA may also use my child’s picture for promotional purposes.

I have read and agree to the the terms. * Yes

Sport Soccer
Lacrosse
Field Hockey
Volleyball
Tennis
Golf
Running
Baseball/Softball

Winter Vacation Full Day Option $170
Half Day Option $140

Locations Derry SportsZone
Tyngsboro
Hampshire Dome

Spring Vacation Full Day Option $170
Half Day Option $140

Locations Derry SportsZone
Tyngsboro
Hampshire Dome

Spring Tennis Vacation Age/Time Ages 10-13, 9:00-12:00pm
Ages 14-17, 12:15–3:15pm

Spring Tennis Vacation Program Mon-Thur Full 4 Day Option $150
Monday $50 per day
Tuesday $50 per day
Wednesday $50 per day
Thursday $50 per day

Did you choose a matching
Program and Location? * Yes

Dates *

Player's Name *

Gender * Male
Female

Player's Age/Grade *

Sport *

Parent's Email *

Parent's First Name *

Parent's Last Name *

Parent's Phone *

Parent's Cell Phone

Parent's Address *

Parent's City *

Parent's State *

Parent's Zip *

Add to the Mailing List Yes
No

Emergency Contact Name *

Emergency Contact Phone *

School/Club Coach Name

School/Club Coach Email:

How did you learn about ITNSA? *

Comment

Please let us know your
method of payment * Credit Card
Check

For security purposes,
please enter code from image *

If you intend to pay online click SUBMIT to continue.

If you intend to pay by check click PRINT above and mail the form in with your check to the address below.

In The Net Sports Academy
P.O. Box 1652
Merrimack, NH 03054