OUTDOOR MULTIPLE SPORTS - OSHAWA
Please complete all required details. One form per person.
Location And Course
All fields below are required unless marked as optional.
Location:
*
Oshawa - Z5 Court, 1155 Boundary Rd Unit 4, Oshawa, ON L1J 6Z7
Course:
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Tennis, Basketball, Soccer, Pickleball
PROGRAM FEES
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$250 + Tax (8 weeks term) - July & August 2024
Select Your Kid's Age Group
*
Ages 5-8 Years Old (born in 2016, 2017, 2018, 2019)
Ages 9-12 Years Old (born in 2012, 2013, 2014, 2015)
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Lessons Time
All fields below are required unless marked as optional.
Please select a time (Age Group 5-8 Y):
*
Mondays 05:00 - 06:00 PM -
(2 SPOTS LEFT)
Wednesdays 06:00 - 07:00 PM -
(1 SPOTS LEFT)
Thursdays 05:00 - 06:00 PM -
(2 SPOTS LEFT)
Please select a time (Age Group 9-12 Y):
*
Mondays 06:00 - 07:00 PM -
(1 SPOTS LEFT)
Wednesdays 05:00 - 06:00 PM -
(2 SPOTS LEFT)
Thursdays 06:00 - 07:00 PM -
(2 SPOTS LEFT)
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General Information
All fields below are required unless marked as optional.
Child's Full Name
*
First Name
Last Name
Parent's name
*
First Name
Last Name
Gender
*
Boy
Girl
Child's Date of Birth
*
-
Day
-
Month
Year
Parent's Mobile Number
*
Email
*
example@example.com
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you allow us to take photos and videos during the program and share it to ICM TENNIS social media?
*
Yes
No
Would you like to be added to our email list?
*
Yes
No
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Current Medications, Medical Conditions, Allergies
Please type "No" or "None" if you don't have any medical conditions or allergies or using any medications.
*
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Consent:
*
I hereby release ICM Tennis and all of its employees from all claims for damages arising from any accidents or injuries which are caused by arise from participation of the applicants named above, during any program or in any facility or at any location where the program is being held
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FEES:
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( X )
Registration Fee
One Time Registration Fee
$
250.00
CAD
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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