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Student Preferred First Name
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Student Last Name
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Preferred Email
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Student's Birthday
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Student's Current School
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Parent/Guardian Name
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Parent/Guardian Email:
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Address 1
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Address 2
City
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State
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Cell Phone Number
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Boarding or Day Student?*
Boarding
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Desired Year of Entry:
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Applicant for:
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Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Tennis Information
I compete for:
My School Team Only
Junior Circuit Only
Both school team and junior circuit
N/A, I am a beginner
Years of experience, including the current or upcoming season
1
2
3
4+
Club Name
Junior Ranking
Please list all recent tournament and camp participation
Additional Questions/Comments
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