Tennis Coaching Registration form

Fields marked with an asterix * are mandatory.

Parent/Gardian-Account Information

Full Name*(*)
Please type your full name.

E-mail*(*)
Invalid email address.

Street Address*(*)
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Suburb*(*)
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State *
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Postcode*
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Contact phone number*(*)
Please ad the best phone number to contact you

Mobile*
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Ambulance Cover*(*)
Yes or No please

Where did you hear about us*(*)
Where did you hear about us?

Number of Students:
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Student Information

Student 1
Student Name*(*)
Name of Student

Date of Birth*(*)
required date in this format DD/MM/YYYY please

Gender
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Skill Level*(*)
What skill level is the student please?

Medical Conditions*
Invalid Input

Invalid Input

Other not listed above
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Student 2
Student Name*
Invalid Input

Date of Birth*
Invalid Input

Gender
Invalid Input

Skill Level*
Invalid Input

Medical Conditions*
Invalid Input

Invalid Input

Invalid Input

Student 3
Student Name*
Invalid Input

Date of Birth*
Invalid Input

Gender
Invalid Input

Skill Level*
Invalid Input

Medical Conditions*
Invalid Input

Invalid Input

Invalid Input

Student 4
Student Name*
Invalid Input

Date of Birth*
Invalid Input

Gender
Invalid Input

Skill Level*
Invalid Input

Medical Conditions*
Invalid Input

Invalid Input

Invalid Input

Please provide brief message regarding enquiry
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(*)
This is a must - Medical Consent is a mandatory requirement!