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                           Coaching Program (Series II)
                        944 Lawrence Ave W 2nd floor
                 TTTC   Nov 09, 2003 Time 10.00am -Noon       
Name:-     __________________________________
Address:- __________________________________
                __________________________________
 
Level of play  [1] [0-1000] [2]1000-1500 [3] 1501-1900 [4] 1901- xxxx
Rating [        ] Playing Style Pen Hold/ ShakeHand
By signing I release the TTTC for any injuries or liabilities that might occur.
Signature ............................................ Phone # ..........................
 
Forehand [ ]  Backhand  [ ] Footwork   [  ] Service  [  ]
-------cut here----------------cut here---------------cut here------------
 
Toronto Table Tennis Centre 944 Lawrence Ave W located beside Burger King on 2nd floor  783-3770
Cost $5.00 per visit Maximum 6 weeks.
Please note all forms must be pre-approved by the Central Region Director before play starts! Forms can be given to Larry Laughlen also.
 
Program approved by Carvo Grant Director Central region OTTA
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