2012 FITZSQUASH DOWN UNDER APPLICATION FORM 9-22 JULY

Name *
Gender *
Date of Birth *
Age *
Email address *
Country of Residence *
Address
Playing Ability *
How will you be getting to the camp? *
Will you be accompanied by an adult? *
Please list your recent tournament results, if any
Do you currently hold a ranking? what is it and what location? *
Sweatshirt/tshirt size
Can we take you picture?(Group shots, video analysis) *
Medical note or other
I have read and accept the terms and conditions *
Additional Comments

After submitting your application form please use the paypal link to process your deposit for your place at Sarah's camp. If you have any questions or problems please contact us for help.

Payments can be made via this paypal button using a paypal account, VISA, Master or AMEX, you do NOT need a paypal account to pay via credit card online.