Free Inclusive Tennis Program - Event Registration
Event Timing: Thursday's 5pm 
Event Address: 51 Park St, Epping
Contact us on 9408 6666 or secretaryeppingtennis@hotmail.com
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Participant's Name *
Email address *
Contact Number *
Participant 's age  *
Participant's Date of Birth *
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Gender  *
Address *
Parent/Guardian Name *
Parent/Guardian's contact number *
Who is completing this form?  *

Your individual support needs?
Tell us the about the support you usually require to engage in everyday activities? eg wheelchair, support person, sensory items, etc
 *

Behaviours we should be aware of, triggers and behaviour support strategies?
 *

Medical condition or allergies?
 *

Your expressive and receptive language abilities?
Do you communicate verbally or using an ipad or PECS etc?
 *

Special interests, favourite items, activities, likes, dislikes, phobias?
 *
Tennis experience/confidence/physical activity levels?
Do you play tennis or any other sports regularly? Do you have the capacity to run? Are you physically active?
 *

Is your parent, carer or support person available to attend the program with you and assist you to participate in on court activities?
We would like to know what support will be available to each participant. 
 *
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