tennis coaching registration

  

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Select Offering:        
   
First Name:
 *Last Name:
 *M/F
Address:
Suburb:  
Postcode:
*Birthdate:  (dd/mm/yyyy e.g. 19/07/1949)
*eMail Address:
Landline Phone Number:  (10 digits, optional dashes e.g. 02-9856-1212)
*Mobile Phone Number:    (10 digits optional dashes)
Parent/Guardian name (if different):
Parent/Guardian phone:
Parent/Guardian eMail:    
Additional Comments:

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Terms and Conditions:

  • A confirmatiion message will be emailed to the provided eMail address upon successful registration processing