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Junior Holiday Program – January Enrolment Form – Ages 11 – 15

    Student #1

    Name*:

    Age*:

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


    Student #2

    Name

    Age

    Date of Birth (DD/MM/YYYY)


    Parent Name*


    Parent Mobile*

    Parent Email (required)


    Student School *


    Session Time

    Student #1 *

    2:00pm - 5:00 pm (Students aged 11 - 15)

    Student #2 (skip if only enrolling one student)

    2:00pm - 5:00 pm (Students aged 11 - 15)


    Days student(s) would like to attend

    Student #1 *

    Tues 15 JanWed 16 JanThurs 17 Jan

    Student #2 (skip if only enrolling one student)

    Tues 15 JanWed 16 JanThurs 17 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 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.

    $35$70$100$105$135$140$170$200



    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 anyone into the program under the age of 10.

    - 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.