Student Registration Form

Student Registration Form
Student's Name

First NameLast Name
Student's Date Of Birth
Gender
Please select an event from the list
Have you played tennis before?
If Yes, please indicate for how long you played.
Parent/Guardian's Name
Parent/Guardian's Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Medical Information
Do you suffer from any health complaints? Eg. asthma, allergies, diabetes,blood pressure, cholesterol, arthritis, skin disorders (acne, rashers, psoriasis, eczema) chronic fatigue, other?
Please provide and explain.
Any other health conditions or past injuries?
Any medications currently being used?
By signing below I agree and give permission for KandiCrushBallers to take and use my ward's photograph, digital images and videos for official club purposes
I Parent/Guardian give consent for my ward to participate in activities organized by KandiCrushBallers. I understand the risks associated with these activities and hereby release KandiCrushBallers from any liabilities which may accompany them. In addition, I will waive on any liabilities relating to damage or loss of personal belongings.
I hereby certify that all the information provided in this form to the best of may knowledge is accurate.
Parent/Guardian Name

First NameLast Name
Should be Empty:

Medical Information