To Schedule An appointment
Please fill out this form completely.  Call 917-664-8824 to confirm
the appointment.  Appointments
MUST BE Confirmed and are
subjected to 24 hours Cancellation notice. Makeups available

Credit Card Payment:
  1. Fill out appointment Form
  2. You will Receive confirmation from Coach V for your lesson
  3. Revisit online Scheduling page
  4. Click Secure Paypal button and fill out Payment
    Information
  5. You will receive an Email Receipt
Your Full Name:
Your E-mail Address:
Your Phone Number:
Lesson Request
Location
Group Members
Date & Time
Amount of Lessons Wanted
Questions & Comments
Level of play or NTRP
Payment Methods:
Cash
Check
Credit Card:
Through Paypal
Add$10 to payment
Please enroll my Child/ward or myself in Top Rank Tennis or Coach V's Programs/services. I
have read and accept the policies listed on this form. I Authorize Coach V to Charge my Credit
card through Paypal below, in full for all programs selected.  I understand that there are no
refunds or credits given once I have been charged. Terms And conditions of enrolment in Top
rank Tennis or Coach V's Programs and Packages: Full payment on "due date" specified, or later
than day # 1.  Installments available only to families with multiple members enrolled in
program/s: equal payments over number of months equal to the number of enrollees - i.e: 2
months for 2 members, 3months for 3 members etc. Enrollment is for entire semester/package -
norefunds/credits for withdrawals, unless for medical condition verified by doctor's note.  If a
payment s 30 days past its due date, a charge in the full amount will be posted to this credit card
account.  Request for changes in day/time of enrollment must be in writing - Coach V or Top
Rank Tennis will try to accommodate such request, but does not guarantee it. Make-ups are not
guaranteed - however, Top rank Tennis & Coach V will try to accommodate make-ups to the
best of its ability. Make-ups must be completed before the end of the given semester/package and
cannot be carried over. In circumstances beyond Top Rank Tennis & Coach V's Control (i.e
Inclement weather, local/national crisis or other emergency) will not provide make-ups, refunds
or credits. If your regularly scheduled Professional is unavailable, Your lesson/sesion will not be
cancelled or postponed, but will be taught by another Professional as directed by the Director of
the department.

Waiver: I understand and acknowledge the risks of injury that are inherent in any program
involving physical activity, and as the enroollee/Parent or guardian of the child registered herein, I
hereby waive and release any and all rights and claims for damages I may have against, Coach V,
Top Rank Tennis academy, Program Directors, instructors or employees and any sponsors and
their respective representatives for any loss of property or for any and all injuries in connection
with participation in this program. I have no objection to photographs taken with the program
being used in advertising or other media efforts. I do hereby give my consent to medical care,
emergency or otherwise, inclusive of any necessary transportation, in the event of injury to
myself/ my child or ward.


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Scheduling
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