Please provide the following contact information:

Full Name
Title
Address 1
Address 2
City
County
Post Code
Work Phone
Home Phone
E-mail

Enter your date of birth

-- dd/mm/yy

Enter your occupation in the space provided below.

How many years have you been playing ?

How would you describe your standard ? Choose one of the following options:

Beginner Intermediate Advanced

Have you ever attended coaching ?

Yes No

Do you currently attend coaching sessions ?

Yes No

Do you currently attend non-coached club sessions? Choose one of the following options:

Mix ins Ladies team practise Ladies Tuesday morning Mens team practice

Do you play competitive tennis? Choose one of the following options:

Adult Junior Club Local league

What type of coaching would you prefer? Select any of the following options that apply:

Individual                                  Small advanced group ( normally 4 players   maximum)                                    Team practice                             
Larger group coaching ( normally 8 +)       Fun sessions ( games based sessions)        

Enter any further comments in the space provided below.

Please submit this form online or post to:

Nigel Hunter, Belbroughton Tennis Club, The Recreation Centre, off Hartle Lane  DY9 9TJ