Holiday Tennis Activities Booking Form

Please complete and submit this form to make a provisional booking which will become final on receipt of the appropriate payment.

Please make cheques payable to TPRTennis and post to:

Tony Ravenscroft
127 Birchfield Road
Headless Cross
B97 4LE

Or alternatively payment can be made via BACS to:

Account Number: 40784222
Sort Code: 20-71-45

    Name of child (required):

    Child's Date of Birth (required):



    Your email (required):

    Rating (if applicable):

    British Tennis Membership Number (if applicable):

    Relevant Medical Information:

    Parent/Guardian (name and relationship):

    Emergency Telephone Number 1:

    Emergency Telephone Number 2:

    I permit my child/children to be photographed to help promote tennis on the website, FaceBook and for editorial purposes in local newspapers:

    Specific Instructions (please enter any specific instructions here):