Tennis academy application - entrance

Daughter's Name*

First Last

Daughter's Date of Birth*

Would you like your daughter to be considered for a Tennis Academy Scholarship?*

Yes

No

Proposed year of entry*

Talbot Heath School Status*

Boarding

Weekly Boarding

Day

Current Tennis Club*

WTN Number*

National Ranking

Medical Conditions – Please list all medical conditions*

Epipen*

Yes

No

Inhaler*

Yes

No

Insulin*

Yes

No

Please list any medications not listed above*

Please list any injuries sustained in the past 2 years*

Please provide any additional information you feel may be beneficial for us to know*

Current Coach Name*

Current Coach Email Address*

Number of years with current coach*

Outline your current weekly training programme*

Tournament Successes (past 12 months)*

Attitude towards setbacks (in no more than 100 words, please detail an example of how you have overcome a setback in order to succeed in a challenge (any hobby, sport, school time or life)*

Personal Statement – Express in no more than 100 words why you want to join the Talbot Heath/West Hants Club Academy*

Please state here how your coach or peer group would describe your attitude towards your tennis*

Coaches Reference Information

Current Coach Name*

Current Coach Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Person with parental responsibility

Please complete this section in full.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent's Email*

Phone Number*

Date*

Talbot Heath Tennis Academy

School life

Parents, Pupil and staff Area

Charity

Junior school

Senior school

Sixth form

Tennis Academy Application – Entrance

Coaches Reference Information

Person with parental responsibility

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