Northland Blind & Low Vision Tennis Open Championships - Entry Form
Entries close 30 September 2025
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Country
*
Region
Classification Details
Do you have a classification?
*
Yes
No
Classification
B1
B2
B3
B4
Do you want to upload your completed Medical Diagnostic Form for Players with Visual Impairment Form (MDF) on this application?
*
Yes, I will upload it now
No, I will email it to admin@tennisnorthland.org.nz before 24 September 2025
Please upload the Tennis Northland MDF here
Browse Files
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Tournament Entry Details
Please select which events you want to enter in (select all that apply)
*
Womens Singles
Womens Doubles
Mens Singles
Mens Doubles
Have you participated in a tennis tournament before?
*
Yes
No
Payment
Payment must be made before 24 October 2025. Cost is NZD$50 per person per event (i.e., if you are only playing singles it will cost NZD$50, if you are playing both singles and doubles it will be NZD$100 in total).
What is your payment method?
*
Bank Transfer (NZ only - Account name: 'Tennis Northland Incorporated'. Account number: 12-3099-0410707-00)
Online Stripe Payment (see below)
My Products
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Singles Entry Fee
$
50.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Doubles Entry Fee
$
50.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Waiver and consent
By submitting this form, I acknowledge and agree that the tournament draw and format may change at the discretion of the organisers due to weather, entry numbers, or other unforeseen circumstances; that I participate at my own risk and am physically able to do so, and I will follow all health and safety guidelines provided; that my personal information may be collected and shared with event organisers and relevant third parties for the purpose of running the tournament; and that photos or videos taken of me during the event may be used by the organisers for promotional purposes, including on social media, websites, and other marketing platforms.
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