ICM Tennis – Coach Assistant Pathway Registration Form
Please complete all required details. One form per person.
Personal Information
All fields below are required unless marked as optional.
Full Name:
*
First Name
Last Name
Gender
Male
Female
Other
Prefer not to share
Date of Birth: (Minimum age requirement: 16+)
*
-
Day
-
Month
Year
Age:
*
Contact Number:
*
Email:
*
example@example.com
City / Province of Residence:
*
Emergency Contact Information:
All fields below are required unless marked as optional.
Full Name:
*
First Name
Last Name
Relationship to the candidate:
*
Contact Number:
*
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Tennis & Coaching Background
All fields below are required unless marked as optional.
Current Tennis Playing Level:
*
Beginner
Intermediate
Advance
Do you have any previous coaching or assistant coaching experience?
*
Yes
No
If yes, please briefly explain
Why are you interested in joining the ICM Tennis Coach Assistant Pathway?
*
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Program Level Selection
All fields below are required unless marked as optional.
Please select the level you are registering for:
*
Bronze Level – 6 Months
Silver Level – 6 Months
Gold Level – 6 Months
Tuition per Level: (Payment required in full at registration)
*
$2,100 + HST/GST
TOTAL FEES (INCLUDING 13% HST/GST)
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TOTAL FEES (INCLUDING 13% HST/GST)
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