Junior Coaching Inquiry Form

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Please submit one entry per child. Once your enquiry is submitted, our club manager will provide you with your invoice.

First Name (Parent/ Guardian) *

Last Name (Parent/ Guardian) *

Email *

Home Phone *

Mobile *

Address *

Postcode

First Name (Child) *

Last Name (Child) *

Date of Birth *

YYYY

School *

I am a CURRENT member of Browns Bay Racquets Club? *

Yes

Group *

Hot Shots Red - Tuesday’s (3:30pm – 4:30pm)

Hot Shots Red – Thursday’s (3:30pm – 4:30pm)

Hot Shots Orange – Tuesday’s (4:30pm – 5:30pm)

Hot Shots Orange – Thursday’s (4:30pm – 5:30pm)

Hot Shots Green – Tuesday’s (5:30pm – 6:30pm)

Hot Shots Green – Thursday’s (5:30pm – 6:30pm)

Commment

Your name and address will be kept on a database by The Browns Bay Racquets Club Inc. for the purpose of club membership records and for it to retain, use and disclose these to the regional / national association, sponsors and to other members of the Club. (This consent is given in accordance with the Privacy Act 1993). I also agree to adhere to the terms and conditions set out in the BBRC constitution available on request and on the BBRC website.

I Accept

Submit

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