Member Survey Form

Please fill in a form for each member of your family.

First Name: Last Name:
Email (h): Email (w):
Phone (h): Phone (w):

Tennis:

Level: Beginner | 3.0 | 3.5 | 4.0 | 4.5 | 5.0 | Open |

Leagues: [check all that apply]

Singles | Doubles | Mixed | Lessons | Drills

Aerobics:

Yoga | Pilates | Core Fit | Step | Lo Impact

Light Aerobics | Kick Boxing | Power Sculpting | Power Mix

Would you like a personal trainer? | Male | Female

Would you like massage services?

Social: [check all that apply]

Bunco | Bridge | Friday Night Mixers | Club Socials

Family Functions

Children:

Name:
1. 		Birthday:
 Email:
2.
3.
4.
Activities: [check all that apply]

Tennis Drills | Private Lessons | YTA Leagues

Tennis Tournaments| Swim Team | Tennis Academy

Kids Activities | Summer Youth Camp | Summer Tennis Camp

Notes:
This form is submitted by email and is therefore unsecured. Do not include any sensitive information, the survey will be sent from your email program.