2015 IMG Academy TENNIS ENROL FORM

2015 IMG BOLLETTIERI TENNIS CLINICS
High Performance Clinics
CLINIC 1 Kooyong Lawn Tennis Club,
Glenferrie Road, Kooyong Vic.
Date: 28th March-1 April 2015
CLINIC 2 Elite Tennis International Academy
Caloundra, Qld.
Date: 2 - 6 April 2015
Clinics are for 5 days (8.30am-3.30pm)
$990 inc. Gst
Payment Options: Deposit required with registration $495
with balance of $495 payable 7 days prior to Clinic
IMGA - The world’s largest,
most prestigious multi-sport
institution is coming to town!
Camp Format: 1:4 coach/player ratio. Includes: technical training, physical conditioning, mental
toughness, tactical & match play strategies, goal setting, parent information sessions, equipment check
and certificate of achievement. You may win a “free” week at the Academy in Florida.
Completed forms can be mailed to Director of Events, P.O. Box 61, Braeside 3195 with payment.
CHEQUES/MONEY ORDERS to be made out to Colin Price Tennis Coaching Pty Ltd
Direct Debit (EFT) payments to: ANZ Bank BSB: 013-352
Receipt number to be entered on enrolment form
Account No: 296636912
-----------------------------------------------------------------------------CLINIC 1 - KOOYONG
CLINIC 2 - ELITE TENNIS INTERNATIONAL, CALOUNDRA
Surname: ................................................................ First Name: .................................................................................
Address: .............................................................................. Suburb: ...............................................P/Code: .............
Date of Birth: ............................................ Gender: Male / Female
Home Phone No: (.........) ................................................. Mobile: ..............................................................................
Email:(please print) ...........................................................................................................................................................
Player Registration No: ..................................................... Australian Ranking:(if applicable) ...........................
Direct Debit:
BSB: 013 352 Account No: 2966 36912
We are able to billet a player of .......... Years BOY
Bank Receipt No: .......................
Amount Paid $ ..............
GIRL
Do we have permission to use any photos in advertising or marketing materials
YES
NO
Please advise of any dietary requirements: ...........................................................................................................
For further information on either the NBDO or IMGA Bollettieri Tennis Camps
contact: IMGA Agents, Lyn and Colin Price, T: (613) 9588 0660, 0412 403 241,
or 0414 584 991, W: www.sportcamps.co E: sportcamps@bestit.net.au