Wufoo

Name * First Last
Gender *
Male Female
Membership Type
Adult ($10) Junior ($5)

Payable pro rata.
Email *
Mobile phone number (for SMS)
Postal Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth (mandatory for U/18) MM / DD / YYYY
Name of authorising parent/guardian (mandatory for U/18) First Last
Conditions of Membership

As a condition of membership I hereby agree to waive for myself, my executors, administrators, heirs and personal representatives, all claims of any kind, nature and description, including any claims in respect of injuries sustained in travelling to, from or while participating in events, against Deaf Tennis Australia.
Acceptance *
I accept the conditions of membership (parent/guardians to indicate acceptance if applicant is U/18).
Do Not Fill This Out