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Tennis Coaching Registration form
Fields marked with an asterix *
are mandatory.
Parent/Gardian-Account Information
Full Name*
(*)
Please type your full name.
E-mail*
(*)
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Street Address*
(*)
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Suburb*
(*)
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State *
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
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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*
(*)
Please Select
Yes
No
Yes or No please
Where did you hear about us*
(*)
Where did you hear about us
Website
Court Signage
Friend
School-College
Car Signage
Newspaper
Other
Where did you hear about us?
Number of Students:
1
2
3
4
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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
Male
Female
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Skill Level*
(*)
Please Select Skill Level *
Beginner
Intermediate
Advanced
Experienced
What skill level is the student please?
Medical Conditions*
No
Yes
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Diabetes
Anaphylaxis
Heart Condition
Physical Disability
Learning Disability
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Other not listed above
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Student 2
Student Name*
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Date of Birth*
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Gender
Male
Female
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Skill Level*
Please Select Skill Level *
Beginner
Intermediate
Advanced
Experienced
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Medical Conditions*
No
Yes
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Diabetes
Anaphylaxis
Heart Condition
Physical Disability
Learning Disability
Invalid Input
Invalid Input
Student 3
Student Name*
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Date of Birth*
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Gender
Male
Female
Invalid Input
Skill Level*
Please Select Skill Level *
Beginner
Intermediate
Advanced
Experienced
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Medical Conditions*
No
Yes
Invalid Input
Diabetes
Anaphylaxis
Heart Condition
Physical Disability
Learning Disability
Invalid Input
Invalid Input
Student 4
Student Name*
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Date of Birth*
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Gender
Male
Female
Invalid Input
Skill Level*
Please Select Skill Level *
Beginner
Intermediate
Advanced
Experienced
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Medical Conditions*
No
Yes
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Diabetes
Anaphylaxis
Heart Condition
Physical Disability
Learning Disability
Invalid Input
Invalid Input
Please provide brief message regarding enquiry
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(*)
I authorise the coach on duty to take any reasonable medical action necessary on my behalf, should the need arise, including calling for an ambulance at my own expense if it is deemed necessary.
This is a must - Medical Consent is a mandatory requirement!
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Home
Coach Marco Persi
Coaching Locations
About our program
Policies
News
What our customers say
Tennis Programs
Junior Discovery
3- 5 year old pre school program
Discover
5 – 7 year old program
Explore
8 – 10 year old program
Establish
9+ year old program
Expand
10+ year old program
School Holiday Program
Register
Contact Us
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