StPats_EnrolmentForm_Ages7_10_Dec_2022

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 *

St Pats PSMurrumbeena PSHughesdale PSCarnegie PSGlenhuntly PSOakleigh PSCaulfield GrammarOther

Session Time

Student #1 *

10:00am - 12:00 pm (Junior Program)

Student #2 (skip if only enrolling one student)

10:00pm - 12:00 pm (Junior Program)

Days student(s) would like to attend

Student #1 *

Mon 19 DecTues 20 DecWed 21 Dec

Student #2 (skip if only enrolling one student)

Mon 19 DecTues 20 DecWed 21 Dec

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.

$115.50$77.00$38.50$231.00$154.00$192.50

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.