Modbury Tennis Club Inc.
PO Box 823 Modbury, South Australia 5092
ABN 75 186 545 775
JUNIOR TENNIS NOMINATION FORM
WINTER SEASON 2015
To nominate your child to play Junior Summer Tennis at the Modbury Tennis Club, please complete
the form below and return by Friday, April 10, by one of the following methods:
Post: Junior Coordinator, PO Box 823, Modbury Tennis Club, SA, 5092
Email: modburytc@yahoo.com.au
In Person: To Gavin Pfitzner at coaching




The season dates are from early May through to end of August 2015 for junior and senior
competitions (With no matches over the school holidays in July)
*Hot Shots Orange Ball Competition runs for one school term at a time only*
There are approximately 15 matches in total.
Winter competition times are 6:30pm to 9:30pm for Friday night competition and on Saturday
mornings from 9.30am to 11.30am.
ALL REGISTRATIONS MUST BE RETURNED BY 10th APRIL 2015
JUNIOR NOMINATION FORM FOR SEASON 2015
Name:
DOB:
/
/
Address:
Suburb:
Postcode:
Ph: Home:
Male / Female
Mobile:
Email:
Division last played
Position: (1,2,3,4)
Club last played for (if not Modbury):
Comments: (including team preferences with other nominating juniors)
PARENT / GUARDIAN
Modbury Tennis Club Inc.
PO Box 823 Modbury, South Australia 5092
ABN 75 186 545 775
All parents/ caregivers, please complete the following section. If details are the same as
for your child, please write “As Above” in the address field:
Name:
Address:
Suburb:
Ph: Home:
Postcode:
Mobile:
Email:
Junior
Competition
Junior &
Senior
Competition
Friday Evening Competition
$110
$155
Saturday Morning Competition
$110
$155
Hot Shots Orange Ball Competition
$60
N/A
I would like to nominate my child for the
following Competition(s): (please circle)
I would be interested in supporting the Modbury Juniors:
Team Manager (Organising your childs team including
Yes
No
rostering, score sheets, transport etc)
Complex Supervisor (Roster basis - supervising Friday night or Yes
Saturday morning session of matches when your child is playing
at home - Modbury Tennis Club)
No
Yes
No
Yes
No
Junior co-ordinator (Managing the junior division of the
Club/ main point of contact for all Junior enquiries)
Canteen / BBQ (Available to assist with volunteering in the
canteen or BBQ)
Comments: