Non-Member Participation

Alpine Hills welcomes non-member participation in a variety of programs within each department.

Please print and fill out the form linked below and return it to the clubhouse or via mail at 4139 Alpine R. Portola Valley, CA 94028. If you have any questions or concerns, please contact [email protected].

Non Member Registration

Non-members are welcome to participate in some programs at Alpine Hills*
In order to participate, the club requires monthly payments & an E-mail Address on file.

Registration Information

Parent/Guardian Name:

Address:

* **REQUIRED to receive e-mailed monthly statement, we do NOT mail statements**
Email:

City:

State:

Contact Phone Number:

Zip Code:

Participant Registration for:

Tennis Activities

Fitness Activities

Aquatics Activities

First Name

Last Name

Gender

Birth Date

Notes

*Non-members must pay by ACH

* Bank Name:

* Name of Account Holder:

* Account Number:

* Routing Number:

AUTOMATIC PAYMENT POLICIES:
Alpine Hills will send Electronic Statements to the email address provided on the 1st day of the month. The Electronic Statements are for your information ONLY. All charges on your Electronic Statement are for participation in programs in the month prior. You have 9 days to report discrepancies on statement before payment is withdrawn. Alpine Hills will automatically withdraw the ‘Balance Due’ amount from your Bank Account on or about the 10th day of the month.

AUTOMATIC PAYMENT AUTHORIZATION:
By signing below, I am agreeing that I am either the account holder or have the authority of the accountholder to authorize Alpine Hills to automatically withdraw from above named account. I am authorizing Alpine Hills Tennis and Swimming Club to direct debit the total amount for all charges incurred, by any family member, to my bank account provided herein. I understand that to receive monthly statements of these charges before direct debit on or about the 10th day of the month, I must provide a current e-mail address. I agree that I will pay for the programs and/or activities in accordance with the issuing bank direct debit agreement

Date:

Signature:

Print Member's Name:

Policies: Non-member program participants are expected to arrive no earlier than 15 minutes before, and depart 15 minutes after, the scheduled program. For Private Lessons a 24hr notice is require for cancellations. No-shows and cancellations made with less than 24 hour notice will be charged.

Waiver: I understand that any athletic activities have inherent risks and that these risks are related to participating in Alpine progras. Any and all injuries and costs associated with those injuries will be the sole responsibility of the individual signing below regardless of fault, and by signing below you agree to hold harmless Alpine Hills Tennis and Swimming Club, all reaching professionals, staff, and board members. If the participant is a minor then the adult's signature below assumes responsibility for the above risks.

Dated:

Signature:

Print Name:

* Denotes Required Field

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Non-Member Participation

Alpine Hills welcomes non-member participation in a variety of programs within each department.

Non Member Registration

“The Club made this day the best of our lives. we couldn’t be happier, an absolute incredible experience.”

Sarah and Tim Miller

6 Year Social Members