Assessment Days - Online Re-application Form

To request a further assessment of your tennis skills, please complete the form below. The form should be completed either by the applicant or the applicant's parent / guardian. Please note that due to the number of applications that we receive it is not always possible for us to accept every applicant.

Please complete the form as fully as possible. Fields marked with a '*' are required fields.

Part 1: Personal Details (all fields in this section must be completed)

First Name
Surname
Address 1:
Address 2:
County:
Postcode:

Sex	Male Female
Date of Birth
Age next birthday:
Place of Birth:
Telephone No:
Email Address

Part 2: About your Tennis

1. How long have you been playing tennis?

years

Months

2. Do you have a tennis coach?

Yes No

3. What is your tennis coach's qualification?

4. Please provide the contact details for your coach
	Name:
	Address 1
	Address 2
	Address 3
	Telephone Number:

5. How often do you receive individual coaching?
6. How often do you receive group coaching?

7. Are there any special arrangements made at your club / centre for juniors? (e.g. special court prices or times)

Yes

8. If yes, please give details:

9. Has your tennis been assessed by any other organisation, including the LTA, Coach or other scheme? If yes, please give details of the assessment, name of coach and results.

10. Have you competed in any tennis tournaments? If yes, please list the details below, together with your results, your best 5 results over the last 18 months.
Name of Tournament	Date	Opponent	Result
	//		Won Lost
	//		Won Lost
	//		Won Lost
	//		Won Lost
	//		Won Lost

11. Any other information you feel is relevant since last being assessed by the Cliff Richard Tennis Foundation.

12. If so, what is your LTA rating?

13. Are you ranked in the current year?

Yes No

14. If yes, what is your ranking?

Regional

National

15. What type of assistance would best assist your tennis development?

16. Do you have any financial assistance towards your tennis programme?

Yes No

17. If yes, please state the source of this assistance:

18. What type of assistance do you receive?
Company Backing	Clothing	Equipment	Other

19. Any medical conditions that we should be aware of?

20. Please enter any further information which is relevant to your application: