ICM TENNIS PRIVATE LESSON REGISTRATION FORM
Please complete all required details. One form per person.
Location & Lesson Type
All fields below are required unless marked as optional.
Location:
*
Oshawa
Lesson Type:
*
Private (class with 1 player) -
(AVAILABLE)
Semi Private (class with 2 players) -
(AVAILABLE)
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Program Fees
All fields below are required unless marked as optional.
PROGRAM FEES PRIVATE LESSONS:
*
$1,000 + Tax - (10 Sessions)
PROGRAM FEES FOR SEMI PRIVATE LESSONS:
*
$1100+ Tax - (10 Sessions)
TOTAL FEES FOR PRIVATE LESSONS (INCLUDING 13% HST/GST)
TOTAL FEES FOR SEMI PRIVATE LESSONS (INCLUDING 13% HST/GST)
TOTAL FEES (INCLUDING 13% HST/GST)
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Lessons Time
All fields below are required unless marked as optional.
Please select a time:
*
Tuesdays 07:00 - 08:00 AM
Tuesdays 08:00 - 09:00 AM
Thursdays 09:00 - 10:00 AM
Thursdays 10:00 - 11:00 AM
Thursdays 07:00 - 08:00 PM -
(FULLY BOOKED)
Fridays 05:00 - 06:00 PM
Fridays 06:00 - 07:00 PM
Fridays 07:00 - 08:00 PM
Fridays 08:00 - 09:00 PM
Main Email Address
Please enter your active email address for effective communication
Main Email Address:
*
example@example.com
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General Information - Player 1
All fields below are required unless marked as optional.
Player 1 Age Group
*
Kids/Juniors (Age 3 to 17)
Adult (Age 18 and higher)
Child Name
*
First Name
Last Name
Parent/Guardian 1 Full Name
*
First Name
Last Name
Parent/Guardian 2 Full Name
First Name
Last Name
Child Gender
*
Female
Male
Another Gender
None (i.e. blank)
Child Date of Birth
*
-
Day
-
Month
Year
Parent/Guardian Mobile Number
*
Parent/Guardian Email
*
example@example.com
Player 1 Full Name
*
First Name
Last Name
Player 1 Gender
*
Female
Male
Another Gender
None (i.e. blank)
Player 1 Date of Birth
*
-
Day
-
Month
Year
Player 1 Mobile Number
*
Player 1 Email
*
example@example.com
Player 1 Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Player 1) Do you allow us to take photos and videos during the program and share it to THE BILLIONAIRE TENNIS social media?
*
Yes
No
Current Medications, Medical Conditions, Allergies
Player 1
Please type "No" or "None" if you don't have any medical conditions or allergies or using any medications.
*
Consent (Player 1):
*
I hereby release The Billionaire 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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General Information - Player 2
All fields below are required unless marked as optional.
Player 2 Age Group
*
Kids/Juniors (Age 3 to 17)
Adult (Age 18 and higher)
Child Name
*
First Name
Last Name
Parent/Guardian 1 Full Name
*
First Name
Last Name
Parent/Guardian 2 Full Name
First Name
Last Name
Child Gender
*
Female
Male
Another Gender
None (i.e. blank)
Child Date of Birth
*
-
Day
-
Month
Year
Parent/Guardian Mobile Number
*
Parent/Guardian Email
*
example@example.com
Player 2 Full Name
*
First Name
Last Name
Player 2 Gender
*
Female
Male
Another Gender
None (i.e. blank)
Player 2 Date of Birth
*
-
Day
-
Month
Year
Player 2 Mobile Number
*
Player 2 Email
*
example@example.com
Player 2 Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Player 2) Do you allow us to take photos and videos during the program and share it to THE BILLIONAIRE TENNIS social media?
*
Yes
No
Would you like to be added to our email list?
*
Yes
No
Current Medications, Medical Conditions, Allergies
Player 2
Please type "No" or "None" if you don't have any medical conditions or allergies or using any medications.
*
Consent (Player 2):
*
I hereby release The Billionaire 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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TOTAL FEES INCLUDING 13% HST/GST
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