CBTA Membership Registration

First Name * Maximum of 50 characters

Surname * Maximum of 40 characters

Parent/Guardian Name (if under 18years of age)

Sex at Birth Select all that apply Male Female

Date of Birth * Maximum of 20 characters

My Tennis ID Number

Street Address: *

Email Address: *

Club/Tennis Centre/Coach I am Associated with

Is player/parent/guardian an affiliated member of the following (please tick all appropriate- subsidies may be available to members): Select all that apply Revesby Workers Club Moxon Sports Club Bankstown Sports Club None

Level of Play Select all that apply Non-Playing Member Beginner Intermediate/Competition Level Advanced/Tournament Level AMT/ITF Retired Player

Gender Identification Select all that apply Female Male Non-Binary Other Prefer Not to Say

Consent to Photograph/Video - I consent to Player Name above being involved in Photograph/Video for sole use by CBTA for communications, marketing and/or promotions Select all that apply Yes No

CBTA Membership Registration

CAnterbury Bankstown Tennis Association

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