Junior Program Fall Application

Junior Program FALL APPLICATION

On-line APPLICATION for the Pass Academy Fall Junior Programs at Bullis School (Step 1 of 2)

The following is a session application request form, no payment information is entered at this time with this form. After the form is submitted, the Pass Academy Office will contact the parent regarding the next step.

If the student is accepted into the requested session, the parent will be given a link to an on-line payment form to pay the session fee and secure the student in the session (Step 2).
If a different session or an evaluation is recommended, the parent will be contacted with additional information/scheduling before being given the on-line payment form.
You should expect to hear from Pass Academy regarding your application within a weeks time.
If you are new to Pass Academy or are unsure of the level for your child, please Sign Up for an Evaluation.

Junior Program APPLICATION Form for Fall 2023
All students NEW to Pass Academy, ages 7 and older, MUST SCHEDULE a free EVALUATION with our tennis staff PRIOR to a Fall/Winter/Spring application submission.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
Student's Name*
First Last
Age*
Please enter a number from 5 to 18.
Parent Information
Parent's Name*
First Last
Address*
Street Address City State ZIP Code
Parent's Email Address*
Enter Email Confirm Email
Home Phone*
Parents's Mobile Phone
Parent's Office Phone
Fall: September 5th - October 29th
Additional options are available at Pass Academy at Potomac Swim & Tennis Club.
TINY TOTS: Ages 5-6. Classes will stress motor skills, coordination, fun and movement.
TINY TOTS ~ Fall
There are no options available for this field.
All TT options at Bullis are full.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
PASS ACADENY KIDS: Ages 12 & under. The focus is on player development, using a modified ball and specific techniques in learning the game of tennis.
PA KIDS ~ Fall
- Sat 12 - 1:30 ($390)
The Monday, Friday and Sunday PAK classes are full.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
BEGINNER / INTERMEDIATE: Ages 11-14. The focus is on basic tennis skills, strategies & confidence in a fun, encouraging and enthusiastic environment.
BEGINNER / INTERMEDIATE ~ Fall
There are no options available for this field.
All BI options at Bullis are full.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
DEVELOPING TOURNAMENT: Ages 9-14. This is an intensive program devoted to instructional sessions on court, physical conditioning to develop strength and speed, extensive drilling to sharpen all strokes, and competitive play. For intermediate & advanced players.
DEVELOPING TOURNAMENT ~ Fall
There are no options available for this field.
All DTP options at Bullis are full.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
HIGH SCHOOL VARSITY: Players who are currently on their High School Varsity team (or those trying out), along with Sectional tournament players. The emphasis is on match play, consistency, and strategy with structured drills to enhance footwork and conditioning.
HIGH SCHOOL VARSITY ~ Fall
There are no options available for this field.
All HS options at Bullis are full.
Additional options are available at Potomac Swim & Tennis Club, passacademypstc.com.
Medical Authorization & Release
Student Name*
First Last
Student Condition*
- By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first class session.
Date of Medical Authorization*
MM slash DD slash YYYY

By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
Date of Parent Release*
MM slash DD slash YYYY

By dating above, I agree to hold the Pass Academy and Bullis School harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
Cancellation Policy*
- By checking this box I accept the following policy. Cancel prior to 1st class: pay for 1 class. Cancel after 1st class: pay for 1 class plus $75 replacement fee. Cancel after 2nd class: pay for 2 classes plus $100 replacement fee. Plus credit card fees. No refunds after 3rd week. Medical reasons will be accepted with a doctor’s note.
Permission for Photo Use*
- Yes
- No
I give permission for photos of my child participating in Pass at Bullis programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.
Additional Information (optional)

Junior Program FALL APPLICATION

On-line APPLICATION for the Pass Academy Fall Junior Programs at Bullis School (Step 1 of 2)

Junior Program APPLICATION Form for Fall 2023

Parent Information

Fall: September 5th - October 29th

Additional options are available at Pass Academy at Potomac Swim & Tennis Club.

Medical Authorization & Release