2012 PTR ASIA WEEK - Professional Tennis Registry

2012 PTR ASIA WEEK
PTR 2012 Asia Tennis Symposium, 8th-10th October
PTR Junior Development Certification Workshop launch for Mainland China, 11th -13th October
PTR Performance Certification Workshop launch for Mainland China, 14th-16th October
Registration Form
Name: _________________________________________________Address: _____________________________________________________________________
Tel. (Bus.): __________________________________________________________________________________________________________________________
(HM. – Optional): _____________________________________________________________________________________________________________________
Mobile: ___________________________________________________________E-mail: ____________________________________________________
Language(s) Spoken:
□ Mandarin □ English □ Other (please specify) ________________
Tennis playing, teaching and/or coaching experience; affiliated club/centre/association:
___________________________________________________________________________________________________________________________________________
PTR Member □ Non Member □
I wish join PTR Mainland China (RMB 1,400 for Oct. 2012 - Dec. 31st 2013)
I wish to renew my PTR Mainland China membership (RMB 980 for Jan. 1st - Dec. 31st 2013)
PTR Junior Development Certification Workshop □ AND/OR PTR Performance Certification Workshop □
(excluding PTR membership):
RMB 2,000 (per workshop) if first certification □
RMB 2,500 (per workshop) if second or third certification (includes additional certification testing fee) □
2012 PTR Asia Week Package Prices (excluding PTR membership) :
Package 1 – PTR 2012 Asia Tennis Symposium + PTR Junior Development Certification Workshop OR PTR Performance Certification Workshop (excluding PTR membership) :
(PTR Junior Development Certification Workshop □ OR PTR Performance Certification Workshop □)
RMB 3,580 if first certification □
RMB 4,080 if second or third certification (includes additional certification testing fee) □
Package 2 – PTR 2012 Asia Tennis Symposium + PTR Junior Development Certification Workshop + PTR Performance Certification Workshop (excluding PTR membership) :
RMB 5,680 if first and second certification (includes additional certification testing fee)
□
RMB 6,180 if second and third certification (includes additional certification testing fees)
□
Date of Registration: D)/ (M)/ 2012
Accomodation at Shanghai Racquet Club & Apartments:
Shared service apartment single room (own room, incl. breakfast) RMB 750 /room/night
□
Date of check-in___________Date of check-out___________Number of Nights___________
Accomodation at Hanting Express:
Standard room with 2 beds RMB 200 /room/night □
Date of check-in___________Date of check-out___________Number of Nights___________
Total Payments: ____________________________________
Disclaimer
By entering your name on this registration form you are agreeing to the following disclaimer:
You are advised to speak with a physician that specializes in physical fitness and receive a thorough physical examination before participating in the PTR 2012 Asia
Tennis Symposium. The Shanghai Racquet Club & Apartments, its owner, its directors, employees or other representatives will not be liable for physical injury or
property damage or other losses arising out of or in relation to your participation in the PTR 2012 Asia Tennis Symposium. This is a comprehensive limitation liability
that applies to all damages of any kind, including (without limitation) compensatory, direct, indirect or consequential damages, loss of data, income or profit, loss of
or damage to property.
Office use only