July School Holiday Camps

Student Name*

First NameLast Name

Student Date of Birth: *

Allergy / Injury / Medial Condition:

Student Gender*

MaleFemaleOther

Early Birth

Date

Half Day cost

Full Day cost

Week 1

Tuesday 30th SeptemberWednesday 1st OctoberThursday 2nd October

Session

Half Day (9am-12noon) $65Full Day (9am-3pm) $85

Week 2

Tuesday 7th SeptemberWednesday 8th OctoberThursday 9th October

Session

Half Day (9am-12noon) $65Full Day (9am-3pm) $85

Would you like to see our lunch menu options?*

YESNO

Lunch hidden

Payment

To avoid credit card surcharges, please pay directly to:

Name: Stephen Halls
BSB: 812-170
Account: 48693

subtotal w1 hidden

subtotal w2 hidden

Payment preferences:*

Bank accountCredit card

Total Required $

File Upload*

Name: Stephen Halls BSB: 812-170 Account: 48693

Payment Amount

AUD

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

E-mail*

example@example.com

Mobile Number*

Area CodePhone Number

Second Emergency Number

Please enter a valid phone number.

1. No credits or refunds will be issued.Choose your dates carefully. Camps will go ahead rain, hail, or shine. In case of bad weather, activities will be moved indoors at the club.
2. Parents/Guardians must sign their child in on arrival and out on departure. If another parent/guardian is collecting your child/children you will need to notify staff on or before arrival.
3. Privacy Statement: Your Personal information will only be used in accordance with the Revolution Tennis.
4. Publicity Statement: Photographs and results from competitions maybe used to promote RT classes and events for publicity purposes, without compensation. Please inform us if you do not want your child’s photo published before they start classes.

September/October Tennis & Pickleball School Holiday Camps

Date attending camp ($5 Off every session if you register by 1st September)

Please attached your transaction receipt here

Parent/Guardian Info