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Columbia Club's Summer Tennis Outing and Dinner: Saturday, July 6, 2019
First and Last Name
Would you like to participate in the afternoon tennis?
What is your tennis level?
"Classement", if applicable
Your partner for the mixed doubles (optional: you can register with a chosen partner for the mixed doubles matches, or, if you register alone, we will match you with an appropriate partner):
I will participate in the evening dinner (starting around 7:30pm) in the Clubhouse Restaurant (à la carte menu).
Registration will be effective upon submission of this registration form and payment of the applicable registration fee (see below) to account BE15 4338 1934 0130 of the Columbia Club of Belgium. I hereby register for:
Afternoon tennis and am a dues-paying member of Columbia Club/Royal Leopold Club - 10 EUR
Afternoon tennis and am not a dues-paying member of Columbia Club/Royal Leopold Club - 20 EUR
Evening dinner at the Clubhouse Restaurant - à la carte - no fee
For planning purposes kindly indicate below if you will be accompanied by children under the age of 12 and, if so, kindly indicate their names. There is no charge for children under the age of 12. Children age 12 and over who wish to participate in the afternoon tennis must register separately and pay the applicable registration fee. I will be accompanied by the following children under age 12:
GDPR Message: The information requested in this Registration Form is for the sole purpose of enabling the Columbia Club to register you for participation in the July 6th Tennis Outing and it will not be used for other purposes such as marketing or commercial solicitation.
I understand the purpose of this form and consent to the use of my personal information for such purpose.
A copy of your responses will be emailed to the address you provided.
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