Highett_EnrolmentForm_Ages_7_10_Jan_2023

Student #1

Name*:

Age*:

Date of Birth* (DD/MM/YYYY) :

Student #2

Name

Age

Date of Birth (DD/MM/YYYY)

Parent Name*

Mobile*

Email (required)

Student School *

Sandringham PSSandringham East PSMoorabbin PSBeaumaris North PSBlackrock PSSt Agnes PSSt LeonardsOther

Session Time

Student #1 *

10:00am - 12:00 pm (Students aged 7 - 10)

Student #2 (skip if only enrolling one student)

10:00am - 12:00 pm (Students aged 7 - 10)

Days student(s) would like to attend

Student #1 *

Thurs 12 JanFri 13 Jan

Student #2 (skip if only enrolling one student)

Thurs 12 JanFri 13 Jan

Do any students have any health considerations or food allergies that coaches should know about?

YesNo

If yes, please explain

Payment Method:

I understand that my payment must be made to Cahill Tennis Coaching via Internet Banking, BSB 033065, Acc No 409529 for my booking to be registered.

Payment to be made to Cahill Tennis Coaching.

$90.00$45.00$180.00$135.00

I agree to the terms below

- My booking will only be confirmed once payment has been received by Cahill Tennis Coaching.

- I am not booking a Beginner into the program that has not received coaching before.

- There is a $10 late cancellation fee, if Cahill Tennis Coaching does not receive 12 hours notice before a cancellation is made.

- Refunds will only occur if a program day is cancelled and the student cannot attend the make up session determined by Cahill Tennis Coaching.