Junior Group Coaching Booking Form - September to October 2018 (A1)
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Please fill in this form if you would like to take part in the junior coaching program.
If you are new to the groups please confirm with Head Coach, Russell Dykes before completing the form in full.
Child's Name *
First name and Surname
Date of Birth *
MM
/
DD
/
YYYY
School Year *
Parent Name *
First Name and Surname
Mobile Telephone Number *
(In case of emergency or rain cancellation)
Email Address *
Medical Conditions
Please give details of any medical conditions to be aware of (Please ensure that children bring any medication they require)
Coaching Sessions
Please click the session day and time. Please note the price and make payment as outlined below, before classes begin.
Mondays (Start Date 3rd September)
Tuesdays (Start Date 4th September)
Wednesdays (Start Date 5th September)
Thursdays (Start Date 6th September)
Fridays (Start Date 7th September)
Saturdays (Start Date 1st September)
Payment Details
Payment must be made before this block of lessons begin.

Where possible please pay online by bank transfer to Russell Dykes as follows:
Please confirm payment details *
Required
Please confirm your child is a member of RPLTC *
To take part in the coaching courses at RPLTC it is a club policy that all children are members, as well as a parent as a social or playing member. Please sign up at www.rpltc.co.uk if you have not already done so
Required
Please tick here if you would NOT like your child to be used in promotional photos for RPLTC Coaching
I understand that RPLTC Coaching needs to process the personal data I have provided for the purposes of tennis coaching and I agree to this. *
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