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Grande Prairie Tennis Club – 2011 Registration Form
Member Information :
	* Fields are mandatory
Surname *
First Name *
Gender *	MaleFemale
E-Mail Address *
Address :
Street
Apt #
Town or City
Postal Code

Family Members (Immediate Family only).
*Room for up to 4 additional names

Surname
First Name
Gender	MaleFemale
E-Mail Address

Additional Information:

I am interested in Tennis Lessons:

Yes No

I would like to help work the Casino :

Yes No

I am interested in playing in a mixed league:

Yes No

Additional Notes:

I / we understand and agree that the GP Tennis Club will not be held liable for any loss(es), damage, injury to persons or property, however so caused. In consideration of my / our admission as a member(s) of the GP Tennis Club, I / we agree to be bound by the bylaws and rules and regulations of the GPTC.