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Tennis Registration Form
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* Indicates required question
Email
*
Your email
Participant's name:
*
Your answer
Parent/Guardian name (place N/A if not relevant):
*
Your answer
Address:
Your answer
Mobile Number:
*
Your answer
Emergency Contact:
*
Your answer
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Class selected:
*
PRIVATE LESSONS
PRIVATE ADULT GROUP CLASS
Required
Which Day/s:
*
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Other:
Required
Does the participant have any medical conditions we should know about?
*
Your answer
How did you hear about us?
*
Search Engine
Referral
Website
Fence Banner
Played here before
Ascot Vale Tennis Club
Other:
Parent's signature:
*
I confirm that I have read and I agree to the terms and conditions listed in the T & C document on the
www.ascotvaletennis.com.au
website
Required
A copy of your responses will be emailed to the address you provided.
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