Niagara Academy of Tennis Camp Application
General Application
This form is used to fill out necessary legal and government documents pertaining to your participation in Niagara Academy of sports. Please make sure that all answers are truthful and accurate.

Some of the questions repeat in the different sections. Please answer each question in each section as they are used in different departments.

Email address *
Student Information
The following questions are regarding the Student applying only
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Date of Birth *
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DD
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YYYY
Age
Your answer
Gender *
Citizenship
Your answer
Address *
Your answer
City *
Your answer
State/ Province *
Your answer
Country *
Your answer
Postal Code *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Email address *
Your answer
Current Grade *
Your answer
Parent Information
Father's First Name *
Your answer
Fathers Middle Name *
Your answer
Fathers Last Name *
Your answer
Father's Date of Birth *
MM
/
DD
/
YYYY
Email address *
Your answer
Address
Home Phone Number *
Your answer
Cell Number
Your answer
Father's Occupation *
Your answer
Mothers First Name *
Your answer
Mother Middle Name *
Your answer
Mothers Last Name *
Your answer
Mother's Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Home Phone Number *
Your answer
Cell Phone Number
Your answer
Address *
Required
Mothers Occupation *
Your answer
Student Health Information
It is very important to add as many details as possible so we can make sure you have the appropriate health insurance upon arrival and so we are best prepared.. This information does not reflect your acceptance into the program.
Country you were Born *
Your answer
Please list all allergies you have. Food, Medical and environmental- Please specify the severity for each allergy listed. *
Your answer
List any or all medications/ treatments you use presently or in the past for allergy relief *
Your answer
Do you have any past or current behavioural issues? If yes, please describe. *
Your answer
How often do you take allergy medication ( Oral, topical or epi-pen) *
Your answer
Are all your immunizations/ Vaccines up to date- Please email us with a photocopy of your immunization records *
Do you have difficulty hearing? *
Do you have difficulty with vision? *
Name any medications you are currently taking and the reason for taking it. *
Your answer
Name any medications you have taken in the past and the reason *
Your answer
List any current injuries or weaknesses, Please indicate the last time you saw a doctor regarding each injury. *
Your answer
List any past injuries or weaknesses- Please indicate the last time you saw a doctor regarding each past injury. *
Your answer
Please state any other pertinent health information- ex. increase, changes or decrease in medications. *
Your answer
Please list and describe any past or current issues with Mental Health *
Your answer
Health Card Number
Your answer
Doctor's Name and phone Number *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Alternate Emergency Contact Person and Number *
Your answer
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