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Membership Registration

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North Bendale Tennis Club

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Member Category*

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North Bendale Tennis Club

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Hayabusakan Judo

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Hayabusakan Judo

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Registration

Justin T. Chan
Professional Corporation

Notice: Completing this form does not create an attorney-client relationship. All information provided will be kept confidential.

Prospective Client Information

Personal Details

Please provide names and ages of the dependents.

Contact Information

Referral Information

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Registration

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Prospective Client Information

Personal details

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Marital Status*

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Do you have any dependents?*

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Method of Contact

Preferred Method of Contact*

Referral Information

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Profile Information

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Membership Information

I am the parent / guardian of the junior(s) registering for membership.
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Tennis Information

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Skill Level Desc

Skill Level Desc 2

Club Activities (select all that apply)

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Lessons
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Parent / Guardian Waiver

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Please confirm statements below.

Parent / Guardian waiver statement.
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Additional Information

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Please confirm statements below.

I/we understand that members may be photographed at club events. I/we do not object to these photographs being used on the club website.
I/we release North Bendale Tennis Club, its directors, officers, employees, sponsors, independent contractors and agents from any claims for damages arising from participation in the club's activities caused by or related to covid-19.
I/we release North Bendale Tennis Club, its directors, officers, employees, sponsors, independent contractors and agents from any claims for damages arising from accident, injury or any other mishap due to my/our participation in the club's activities.
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Payment

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Please send e-transfer amount to:

ichosetennis@gmail.com

E-transfer amount:

$

Please confirm payment amount.

I confirm payment amount to complete memberhip registration.
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