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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: _____________________

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Junior Enrolment Form 2010 ( Black & White)

  • 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: _____________________