Please begin by providing the following information:

First Name:

Last Name:

Email Address:

Re-type address:

Second Email Address:

Re-type address:

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First Name:

Business Phone:

Last Name:

Home Phone:

Middle Name:

Cell Phone:

Gender:

MaleFemale

Date of Birth:

YYYY MM DD

Address:

Suite:

Country:

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City:

Province:

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Postal Code:

Email Address:

Use for Correspondence

Please check off all that apply:

Armed Forces

RCMP

Aboriginal

Physical Disability

Second Email Address:

Use for Correspondence

Password:

Confirm Password:

Security Question:

Security Answer:

Status:

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Years of Teaching:

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Language:

EnglishFrench

I am currently not woking in Tennis

Primary Club

Select/type your position with the club from the list

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Other Position

Select/type the club that EMPLOYS you

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I am a TDC Coach for this club:

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OR

If your club is not in the list, please enter your club's name here. Only input the name of the club that EMPLOYS you

Enter the date your employment started with this club

Open the calendar popup.

I am NOT working at a second club

By clicking on the NEXT button, you are confirming that you have only input club(s) that EMPLOYS you and your club information is complete and accurate. If you need to change or correct any of your club information, please click on the PREVIOUS button. Thank you.

Second Club

Select/type your position with the club from the list

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Select/type the club that EMPLOYS you

select

I am a TDC Coach for this club:

select

OR

If your club is not in the list, please enter your club's name here. Only input the name of the club that EMPLOYS you

Enter the date your employment started with this club

Open the calendar popup.

If you don't work at a second club, please click on the PREVIOUS button and then check off the "I am NOT working at a second club" checkbox.

I have read and accept the Code of Ethics

Mandatory Background Check Required

In support of the policy change outlining the requirement for all TPA members to complete a background check, all TPA members will be granted a FREE background check through Sterling Talent Solutions and the cost will be absorbed by Tennis Canada. This member benefit is available immediately and will ensure that the TPA is a leader in setting the highest standards for safety in sport.

To conduct your free online background check:

Once you have paid your membership fees you will be given instructions to complete your free background check.

*Please note that you should not be prompted for payment. If you are prompted for payment, please start again and follow the directions above.

Please contact the TPA (tpa@tenniscanada.com) should you have any questions or concerns.

Background Check File:

Charge	Amount
Membership Fee	$30.00
Sales Tax (13.00 %)	$3.90
Total	$33.90

Your credit card information will be stored on a secure server provided by and maintained our certified payments processing provider.

Credit Card Information

Name On Card:

Credit Card Number:

Expiry Date:

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