Junior Group Coaching Booking Form - January to February 2019
Please fill in this form to take part in the junior group coaching program.
If you are new to the groups please confirm group with Head Coach, Russell Dykes
Child's First Name *
Your answer
Child's Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Year *
Your answer
Parent Name *
First Name
Your answer
Mobile Telephone Number *
(In case of emergency or rain cancellation)
Your answer
Email Address *
Your answer
Medical Conditions
Please give details of any medical conditions to be aware of (Please ensure that children bring any medication they require)
Your answer
Coaching Sessions
Please click the session day and time. Please note the price and make payment as outlined below, before classes begin.
Mondays (Start Date 7th January - 11th February)
Tuesdays (Start Date 8th January - 12th February)
Wednesdays (Start Date 9th January - 13th February)
Thursdays (Start Date 10th January - 14th February)
Fridays (Start Date 11th January - 15th February)
Saturdays (Start Date 5th January - 16th February)
Adult Classes
Courses starting same dates as above. Come and join in too...
Payment Details
Payment must be made before this block of lessons begin.

Where possible please pay online by bank transfer to Russell Dykes as follows:

Please confirm payment details *
Required
Please confirm your child is a member of RPLTC *
To take part in the coaching courses at RPLTC it is a club policy that all children are members, as well as a parent as a social or playing member. Please sign up at www.rpltc.co.uk if you have not already done so
Required
Please tick here if you would NOT like your child to be used in promotional photos for RPLTC Coaching
I understand that RPLTC Coaching needs to process the personal data I have provided for the purposes of tennis coaching and I agree to this. *
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