Enrol Online Please choose the correct enrolment form. Holiday Clinic Enrolment Form - December 2024 Expand Clinic Enrolment Form - 16th - 18th December 2024 Held at Prince Alfred College Supergrasse courts, Kent Town (enter from The Parade West) Step 1 of 6 16% Parent DetailsName(Required) First Last Address(Required) Postal Address Suburb/Town Postcode Home Phone(Required)Mobile(Required)Email(Required) Enter Email Confirm Email Enrolling ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Dates Attending(Required)(select dates provided) 16th December 2024 17th December 2024 18th December 2024 Select AllAdd a second child? Yes Please. Enrolling Second ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Dates Attending(Required)(select dates provided) 16th December 2024 17th December 2024 18th December 2024 Select AllAdd a third child? Yes Please. Enrolling Third ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Dates Attending(Required)(select dates provided) 16th December 2024 17th December 2024 18th December 2024 Select AllAdd a fourth child? Yes Please. Enrolling Fourth ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Dates Attending (select dates provided)(Required)(select dates provided) 16th December 2024 17th December 2024 18th December 2024 Select All TennisEd Terms and Conditions Cost and Payment $200 for all three days per child, $140 for two days per child or $70 per day per child. TennisEd Disclaimer As a parent or guardian of the above named minor and on his or her behalf, I release and discharge Jack Schipanski, Dean Schipanski and Josh Gregg and all and any employees or other persons acting in any capacity on their behalf, from all and any actions, claims, liabilities, costs, causes of action, and demands for damages, loss and/or injury howsoever arising and whether the result of illness, bodily injury or death, loss or damage to personal property, known or unknown which the above named minor might have against them or either of them, as a direct or indirect result of his or her participation in or at any tennis related program or activity. I have read and accept TennisEd Terms and Conditions.(Required)Check the box to indicate acceptance and submit the form. Yes, I accept the TennisED disclaimer above. Please subscribe me to TennisEd News emails.You'll need to opt-in using the link on an email from Mailchimp. If you don't see it in your inbox, please check your spam folder. Subscribe 53324 Term Coaching - Saturday Enrolment Form Expand TennisEd Saturday Morning Coaching Enrolment Held at Prince Alfred College Junior School Gym & Junior School Tennis Courts, Kent Town (enter from The Parade West) Step 1 of 6 16% Parent DetailsName(Required) First Last Address(Required) Postal Address Suburb/Town Postcode Home Phone(Required)Mobile(Required)Email(Required) Enter Email Confirm Email Enrolling ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Session Attending(Required)(select sessions provided) 9:00 - 9:40am Red Ball 9:40 - 10:20am Red Ball 10:20 - 11:00am Red Ball 9:00 - 10:00am Orange/Green Ball 10:00 - 11:00am Orange/Green Ball Add a second child? Yes Please. Enrolling Second ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Session Attending(Required)(select sessions provided) 9:00 - 9:40am Red Ball 9:40 - 10:20am Red Ball 10:20 - 11:00am Red Ball 9:00 - 10:00am Orange/Green Ball 9:00 - 10:00am Orange/Green Ball Add a third child? Yes Please. Enrolling Third ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Session Attending(Required)(select sessions provided) 9:00 - 9:40am Red Ball 9:40 - 10:20am Red Ball 10:20 - 11:00am Red Ball 9:00 - 10:00am Orange/Green Ball 10:00 - 11:00am Orange/Green Ball Add a fourth child? Yes Please. Enrolling Fourth ChildChild's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY School Attending(Required)Medical Conditions?Session Attending(Required)(select sessions provided) 9:00 - 9:40am Red Ball 9:40 - 10:20am Red Ball 10:20 - 11:00am Red Ball 9:00 - 10:00am Orange/Green Ball 10:00 - 11:00am Orange/Green Ball TennisEd Terms and Conditions Cost and Payment $36.00 per Red Ball session, $42.50 per Orange Ball Session. An invoice will be sent in week 1 of term, and payment can be made via bank transfer. TennisEd Disclaimer As a parent or guardian of the above named minor and on his or her behalf, I release and discharge Jack Schipanski, Dean Schipanski and Josh Gregg and all and any employees or other persons acting in any capacity on their behalf, from all and any actions, claims, liabilities, costs, causes of action, and demands for damages, loss and/or injury howsoever arising and whether the result of illness, bodily injury or death, loss or damage to personal property, known or unknown which the above named minor might have against them or either of them, as a direct or indirect result of his or her participation in or at any tennis related program or activity. I have read and accept TennisEd Terms and Conditions.(Required)Check the box to indicate acceptance and submit the form. Yes, I accept the TennisED disclaimer above. Please subscribe me to TennisEd News emails.You'll need to opt-in using the link on an email from Mailchimp. If you don't see it in your inbox, please check your spam folder. Subscribe 17557
