Holiday Tennis Clinic Registration
Event Timing: 9am to 12pm
Event Address: 33-45 Pertobe Road, Warrnambool Vic 3280
Contact us at 0431791256 or info@beachsidetennisacademy.com.au
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Email *
Child 1 Name *
Date of Birth *
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Standard *
Child 2 Name
Date of Birth
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DD
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YYYY
Standard
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Child 3 Name
Date of Birth
MM
/
DD
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YYYY
Standard
Clear selection
Phone Number *
Address *
School
Parents Name *
Emergency Contact Name *
Emergency Contact Mobile Number *
Week 1 - December 21st to 23rd
What days will you attend?
Week 2 - January 4th to 7th
What days will you attend?
Week 3 - January 11th to 14th
What days will you attend?
Week 4 - January 18th to 21st
What days will you attend?
Week 5 - January 26th to 28th
What days will you attend?
Does your child/children have any medical conditions or food allergies, intolerance or any other requirements we should be aware of? *
Have you made arrangements for your child to be picked up by someone else: *
Required
Name and contact number of the person picking up your child/children from clinic.
I give permission for my child/children to walk home or to local accommodation unsupervised *
Required
I authorise Beachside Tennis Academy to use photos/videos of my child on their website, Facebook and Instagram page. *
I authorise Beachside Tennis Academy to use a video analysis app for technique purposes. *
I give permission for Beachside Tennis Academy to seek medical treatment in an emergency *
Required
I understand that I will have to pay $$ prior to arrival (invoice will be sent via email once registration is confirmed ) *
Required
I confirm the above details are correct and agree to all the terms and conditions of participating in the Beachside Tennis Academy Holiday  Tennis Clinics *
Required
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