2020 Fall Women's Tennis League
Registration Form
The City of Bloomington does not discriminate on the basis of disability in the admission or access to, or treatment or employment in, its services, programs or activities. Upon request,
accommodation will be provided to allow individuals with disabilities to participate in all City of Bloomington services, programs and activities. Upon request, this information can be
provided in Braille, large print, audio tape and/or computer disk.
Cancellation/Withdrawal Policy
Full refunds will be processed if the league your team is registered for is cancelled by
Parks and Recreation due to lack of teams.
Pro-rated refunds will be processed if scheduled games are cancelled and make up dates
are not available due to unavailable facilities.
Teams will receive a full refund less a $50 service charge if your team withdraws at least 3
weeks before the start of play.
Refunds will not be processed if your team withdraws less than 3 weeks before the start of
play or if your team is removed from the league due to disciplinary action.
Card Number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Authorized Fee Amount: $____________
Payment Method:
Cash Check # _____ (Payable to City of Bloomington)
Visa MasterCard Discover AmEx
Cardholder Name: _______________________________
Cardholder Signature:_____________________________
Expiration Date: ____ / _______ CVV ______
(3 Digits on Back, AmEx: 4 on front)
For Office Use Only
Date Received____/____/_____ Staff Initials: ______
Partner’s Information ___ I need a partner
Partners Name: _____________________________
Team Name: _____________________________
Player Information
Name: ____________________________________
Address: __________________________________
City & Zip: _________________________________
Phone: (H) _________________________________
(W) _________________ (C) __________________
Email: ____________________________________
___ New Member ___ Returning Member
NTRP Rating*:_________ (Ratings will be verified)
Substitute:___
Waiver
Release Agreement
Data Privacy Act/Tennessen Warning
SIGNATURE DATE
Both players on a doubles team must submit their own
signed registration sheet for the team to be registered
for a league, regardless of whether team members are
paying individually or having one player subm it
payment for both players. If you would like to regist er
as a substitute for a league (no fee required), please
check on the substitute line.
Completed Registration for and full payment
can be returned via:
Email: parksrec@BloomingtonMN.gov
Mail/Drop-Off: 1800 W Old Shakopee Road
Bloomington, MN 55431 ATTN: Women's Tennis
League Checks payable to: City of Bloomington
Women’s Doubles
$90/Team
Advanced Intermediate Recreational
Singles Ladder
$23/Person
Singles Ladder
*Indicate which league you would like to participate in by placing a check mark next to your
desired league
*If you are unsure of your rating you can use your best judgement, start with the beginners league, or have a league representative obeserve your play for proper placement.