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Holiday Coaching Camp Registration

Fill out the information below, and click ‘submit’ to register.
Fields marked with an asterisk are required.

YOUR DETAILS

Child Details
First Name*
Surname*
  Male    Female
Date of Birth
Day   Month   Year
School
Parent/Guardian Details
First Name*
Surname*
Address
Phone *
Email *

PROGRAM

Please tick your preferred days and the corresponding cost will be calculated below.

     
Total Amount Payable

VOUCHERS AND PROMOTIONS

Voucher code
‘Bring a friend’ T-Shirt promotion
My friend’s name is

PAYMENT

Our payment policy: On the Line Tennis requires payment in advance for all classes. Payments may be made with Paypal or EFT prior to attending classes, or cash/cheque payments may be brought to the first lesson. If full payment has not been received, students will not be permitted to participate. All prices are in Australian Dollars.
Pay with PayPal
Cash
Direct deposit
Acc Name: On the Line Tennis Coaching
BSB: 032778
Acc No: 432783
Cheque
payable to On the Line Tennis Coaching

EXTRA INFORMATION/COMMENTS


LIABILITY DISCLAIMER

By submitting this form I for myself and my child/children release On the Line Tennis Coaching and its partners and affiliated officers, directors, agents and employees from and waive all claims, damages and liabilities whatsoever for the property damage loss, personal injury or death arising from or in connection with my child/children’s participation in the program. I have read and agree to the On the Line Tennis privacy policy.