The Tennis and Sports Psychology Academy (TSPA)
Registration for the Late Night Chill Zone

Late night chill zone consists of instructional tennis and free play from 8 - 10pm and then chilling in the club house with the wii, playstations, ping pong, board games, chess sets and t.v. up until 12 midnight. This is the ideal replacement for a your babysitter and getting the TSPA dream instead. Enjoy the evening and let us take care of your kids and even their friends!

Instructions: Fill out all four parts (I, II and III and IV). If you are a returning client and the personal information is the same i.e address, phone number etc for part II and III, then only fill out part I and IV.

H1N1 Update - Click here for a message from the government of Quebec. We are following their guidelines!

If you are registering siblings, fill out all three parts for the 1st child and only part I, II and IV for the other children.

If you are adding a week just fill out part I and IV.

* = required information

Price

• The cost for the late night chill zone is $20 for members or $30 for non-members. Keep in mind that to become a member cost only $75 because in collaboration with the City of Cote Saint Luc you only pay $75 for your junior membership instead of $99. Click here to download the form. There are some nights that may have a waiting list. In order to be on the waiting list you must register and pay. Your child is guaranteed a spot once registration and payment is received. Confirmed registration operates on a 1st come, 1st serve basis and must be paid at least one day in advance.

Part I Nightly Session

Required Information

*Child's first name

*Child's last name:

*Membership information of the child

Club Member

Non-Member

Birth date

Age as of September 30th

Would you like the TSPA VIP Card? Add $100.

Yes You would save $5 for every late night chill zone among other things. //More info//

Already have it and enjoying savings!

Special requests (leave blank if none)

Please click to add a check mark next to the night you would like your child to join the late night chill zone.

July 11th from as early as 20:00 to as late as 24:00 (midnight)

July 18th from as early as 20:00 to as late as 24:00 (midnight)

July 25th from as early as 20:00 to as late as 24:00 (midnight)

Part II	Medical Information of Your Child
Medicare card
Expiration Date
Gender	Female Male
Asthmatic?	Yes No
Allergic to food(s)	Yes No
If yes, specify
Allergic to medication?	Yes No
If yes, specify
Other relevant medical information.

Part III	New Clients Only

Child's email
Address:
Apartment Number (Leave blank if none)
City:
Province / State
Postal code:
School
Home Phone
Child Cell (if they have one)
How did you find out about our camp?
If other, please specify
Father's Information
Father's First Name
Father's Last Name
Home phone (if different)
Work (include extension)
Cellular
Other (specify)
email
Mother's Information
Mother's First Name
Mother's Last Name
Home Phone (if different)
Work (include extension)
Cell
Other (specify)
email
Other Emergency (list the name(s) and contact number(s)
Can we add your email(s) to our email list? This is our primary way of communicating with you. We do not sell our lists.	Yes No
Can your child leave alone?	Yes No
Who do you authorize to pick up your child. Please list all their full names Do not put grandmother, grandfather or brother; put their full names. In the case that you do not want someone to pick your child up, please also write it below.
Part IV How will you pay for the chill zone? Please note that registration is limited and operates on a 1st come 1st serve basis. There is a maximum of 64 spots per evening. Registration is finalized only when payment is received. Payment deadline can be received at the beginning of the evening but priorty is given to those who pay in advance. This is only applies in the case that we fill up.
*Your full name
Your email
I understand and agree to all the TSPA terms and conditions I have also read the information below. If the person you are registering is experiencing fever (over 38 C and any of the following (difficulty breathing, blue lips, difficulty moving, severe neck stifness, drowsiness, confusion, disorientation, no urination for 12 hours, do not send the camper to camp of risk of the H1N1. Click here for more information. ** Remember those participating on the tennis courts must wear proper tennis shoes. Please note that TSPA sells items at a discount to TSPA clients such as tennis shoes (up to size six), junior tennis rackets as well as a variety of tennis accessories that can be found on the coupon page. Otherwise, call (514-735-2582 x 234) to purchase shoes and remember that a fully stocked boutique 40 / 30 gives TSPA clients a gift of the value of taxes purchased. Just mention that you are a TSPA ciient. If you register and later decide not to come, please call TSPA at 514-886-9929 as soon as possible or by Friday 9pm to let us know otherwise you will lose the session fee. * I agree to the terms and conditions and have read the information above.

Lior Doron (left), academy director and co-owner and Maher Diab (co-owner), do some public relations at the Cavendish mall for TSPA and the Cote Saint Luc Tennis Club. Need more information? Email us or call right now 514.886.9929

Baby Bottles BPA & PHTHALATE Free (non-toxic bottles). 10 oz and regular neck. $13 each. Click here to see more information, email or call 514-928-6771.

The Tennis and Sports Psychology Academy (TSPA) Registration for the Late Night Chill Zone

Part I Nightly Session

Required Information

Part II

Medical Information of Your Child

Part III

New Clients Only

The Tennis and Sports Psychology Academy (TSPA)
Registration for the Late Night Chill Zone

Medical Information
of Your Child