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Inside The Lines Tennis Player/Lesson Inquiry
*
1.
Account Holders Full Name
(Required.)
*
2.
Mobile Number
(Required.)
3.
Email address
*
4.
Student/s Full Name
(Required.)
5.
Student/s gender?
Female
Male
Other (specify)
*
6.
Date of Birth
(Required.)
7.
Preferred Day and time
Day
Time
*
8.
Type of Lesson
(Required.)
Group ($24 per person, per week )
Shared Private ($26 per person, per week)
Private ($40 per lesson)
Other (please specify)
*
9.
Preferred Payment method
(Required.)
Full Term Payment by Invoice Due Date
Afterpay: 4 equal installments (Payable in store only. Fee free - if paid on time)
10.
What is your tennis goal? (choose all that apply):
Learn a 'life-long' sporting skill
Progress to a competition player
Enhance my tennis skills
Improve my fitness
Social Interaction
Other
11.
Allergies and/or medication
*
12.
Are you school age?
(Required.)
Yes
No
