Academy Enrolment Form

1. Web: www.allchampstennis.com.au Email: info@allchampstennis.com.au Academy: 0421 795 608
Postal Address: All Champs Tennis Academy, PO BOX 251, Arundel QLD 4214
Child 1:_____________________________________________ Date of Birth: ____/____/____ Sex: Male / Female
Child 2:_____________________________________________ Date of Birth: ____/____/____ Sex: Male / Female
Child 3:_____________________________________________ Date of Birth: ____/____/____ Sex: Male / Female
Postal Address: __________________________________________ Suburb: __________________ P/C _______
Phone: (h) ________________________ (w) ________________________ (m) ___________________________
Email: ______________________________________________________________________________________
School: ___________________________________________________ Grade/Class: _______/_______/_______
Child 1 Child 2 Child 3
Parents Names: (Mother) _______________________________ (Father) ________________________________
Please select your preferences from the options below.
COACHING PROGRAMS 1 LESSON
10 LESSON CHILD 1 CHILD 2 CHILD 3
CREDIT CREDITS
SMASH (Total Beginner) $8.00 $60.00
Mini Champs (Beginner) $10.00 $80.00
Hot Champs (Intermediate) $12.00 $100.00
$____.00 $____.00 $____.00
Tournament Champs (Advanced) $14.00 $120.00
Elite Training Squad (Elite) $16.00 $140.00
Fun & Fitness $10.00 $80.00
ADDITIONAL PRODUCTS & SERVICES Program Fees: $____.00
Academy Training Shirt Sizes……….... ……. x $35.00 Academy Shirts Fees: $____.00
Private Lessons (Booking Required) $30/ 30mins $55/ 60mins Private Lesson Fees: $____.00
Holiday Clinics (9am-12noon) $25/ day $65/ 3 days Holiday Clinic Fees: $____.00
Holiday Tournaments (9am-12noon) $35/ 3 days Tournament Fees: $____.00
(please find attached information on academy holiday programs) TOTAL FEES: $____.00
Family Discount – 15% off additional family members (applies to bulk payments only)
Payment Options
Cash Please place in envelope with correct fees and students name and hand to coach
Cheques Payable to All Champs Tennis Academy
Credit Card Card Holder Name: ________________________________________________________
Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expiry Date: __ __ / __ __
Bank Deposit Bank: Westpac Acc: All Champs Tennis Academy BSB: 034-292 Acc No: 218 655
Please note: By signing this form you agree that the players stated on this form are injury free and all champs tennis academy should be
notified in writing if any changes occur. I also accept all the terms & conditions of enrolling my son(s)/daughter(s) into this program. By signing
this form, I / We authorise Ezi Debit Australia Pty Ltd, acting on behalf of the business to debit the above payment from my specified credit
card above, and I / we acknowledge that Ezi Debit Australia will appear as the business name on my credit card statement.
Privacy: The coach requires the information requested on this form to provide you with coaching in this program and related purposes, which
can be reasonably expected. Your personal information will only be used in accordance with the purposes of the coach.
Parent Signature: _________________________________________________ Date: _____________________