Inside The Lines Tennis Player/Lesson Inquiry

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* 1. Account Holders Full Name

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* 2. Mobile Number

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* 3. Email address

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* 4. Student/s Full Name

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* 5. Student/s gender?

Female

Male

Other (specify)

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* 6. Date of Birth

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* 7. Preferred Day and time

Day

Time

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* 8. Type of Lesson

Group ($22 per person, per week )

Shared Private ($24 per person, per week)

Private ($38 per lesson)

Other (please specify)

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* 9. 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

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* 10. Allergies and/or medication

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* 11. Are you school age?

Yes

No