INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS (for under 18 s) WITH FULL BOARD AND LODGINGS AT ARCACHON TENNIS CLUB. 24-HOUR SUPERVISION 2019

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1 INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS (for under 18 s) WITH FULL BOARD INSCRIPTION FORM NAME : SURNAME : DATE OF BIRTH :... SEX : male female ADDRESS : POSTAL CODE : TOWN : COUNTRY :.. TEL :...././. /.. TENNIS LEVEL For non-classified players : How long have you been playing tennis?..., How many hours a week do you practise on average?..., Have you played in tournaments :.., Your level is equivalent to the player classified as :. Your level : Beginner who has played a little, Average. For young people under 11 years : level orange : green level LEVEL For classified players : Classification 2019 :... DATE : From. To Licence number FFT*: *French Tennis Federation 2019 E MAIL* :.....@ *(Confirmation of reception will be sent by E Mail) 1

2 INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS(for under 18 s) WITH FULL BOARD PAYMENT FEES : Intensif Course & tournaments : 5 Days (1 tournament): 675, (2 tournaments): Days : (1 tournament) 1319 (2 tournaments) 1389, (3 tournaments) Days (4 tournaments): 2151, (5 tournaments): Down-payment : Cheque for 30% of Total Fee : Airport Transfer : Transport costs for internet scheduled flights : return 50, one way 25, for all other flights, return 70, one way 35 : Total:. 3 Cancellation and Course Interruption Insurance yes no, 5 jours : 35, 12 Jours :70, 19 Jours : 105 Total:. 4 The photocopy of the 2019 licence (also available at the tennis club, it costs 20 ) 20, Total:. Total cost 30% of total fee + N 2,3,4 : If you to pay by bank transfer: (attention the expenses of transfer for countries except European community are at your expense) : MR FRANCK LEROUX REFERENCES BANCAIRES INTERNATIONALES: IBAN : FR L40 BIC :CRLYFRPP ADRESSE BANQUE: CREDIT LYONNAIS ARCACHON. 175 BD DE LA PLAGE ARCACHON. FRANCE As the parent or tutor of the enrolled child, I hereby certify that I have been informed of the general conditions of enrollment and paticipation in l Académie Franck Leroux and I agree to abide by these conditions. Signatures : (including the mention «lu et approuvé» - read and approved) The total fee must be paid 30 days (at the latest) before the course begins. There will be no confirmation by return post for the balance payment. 2

3 INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS(for under 18 s) WITH FULL BOARD PARENTS AUTHORIZATION PARENTS NAME:... SURNAME : TRAINEE S NAME : SURNAME :.. ADDRESS : PHONE/ Mobile :.... House :.... E MAIL Medical information : Medical antecedents :.. Blood group : Allergies : Special mention :. 1 I, the undersigned, Mr. Mrs..authorize Monsieur FRANCK LEROUX to act on my behalf in case of emergency, medical care or hospitalisation. I agree to reembourse l Académie de tennis Franck LEROUX for any eventual medical, surgical, chemist costs and all the costs for taking care of my son or daughter. 2 Furthermore, I grant Franck LEROUX and his staff the permission to transport my child by all means of transport used (private or rented car, bus, taxi, train, boat) 3 Grant my child the authorization to take part in the proposed activities (especially swimming in the Bay or at the ocean) 4 I hereby certify that my child has a civil responsability insurance policy for any damage he or she might cause. Agreed in (name of your town) on. Signatures : (preceded by the mention «lu et approuvé» read approved ) 3

4 INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS (for under 18 s) WITH FULL BOARD ARRIVAL AND DEPARTURE TIMES NAME : SURNAME :.. ARRIVAL : please note the precise date and time 1 Arrival at Arcachon la DUNE, 156 bd de la côte d Argent on the / /2019 at 5 P.M. 2 Arrival on Sunday in the S.N.C.F. railway station in Arcachon (we pick you up) the / /2019 at (time) Train N :.. 3 Arrival on Sunday in Bordeaux Mérignac Airport. We pick you up for all flights proposed on our internet travel site at a cost of 25 and all other flights (foreign) at a cost of 35 the. / /2019 at.. (time) Flight N :.. DEPARTURE : tick the appropriate box ALL DEPARTURES ARE ON Saturday MORNING. Your parents pick you up at the tennis club between 4 and 6 P.M. We will take you to the station on Saturday morning (please precise your departure time) :.. You are picked up on Saturday morning the.. / /2019 at the tennis club, at the Dune Centre We take you to Bordeaux Mérignac Airport on Saturday morning at a further cost of 25 or 35 per person per trip the / /2019 departure time :... flight N

5 INTENSIVE TENNIS TRAINING COURSES & TOURNAMENTS(for under 18 s) WITH FULL BOARD ENROLMENT CONDITIONS: 1) Enrolment procedure The following completed forms must be sent to the following address : The completed enrolment form Parents permission ACADEMIE DE TENNIS FRANCK LEROUX, TENNIS CLUB D ARCACHON 7, avenue du Parc ARCACHON France Mandate (page 8) Photocopy of 2019 licence (if you haven t got a licence, you will be issued with one at the club. It costs 20 and it is valid for one year. A Doctor s Certificate which doesn t prevent the trainee from practicing competitive sport (At enrolment,download the example on tennisleroux.com and have it filled in and signed by your doctor.) A 30% down-payment, the balance must be paid, at the latest, 30 days before the beginning of the course Course cancellation or interruption Insurance is optional. This insurance covers sprains, muscle injuries, any sickness during the course etc (see conditions) For fuller information, consult the contract. Arrival and departure form, as well as any eventual transport costs from Bordeaux Airport (50 or 70 the return trip) 1) Following your registration You will receive an acknowledgment dice receipt of your application by only if sent 3 weeks before the start of the course, sending more accused from 1 July ) Balance payment You must settle your stay 30 days before the start of the course, without stimulus do our part. It will not be sent acknowledgment for the balance 3) Cancellation Call to prevent, and must confirm by registered letter as soon as possible. If you cancel more than 30 days before the start date of the course, the deposit will be refunded, 15 to 30 days before the start of the course the deposit will be retained. If cancellation occurs 15 days before the start of the course 100% of the price of the course is maintained. If absence without prior cancellation, the full course is maintained. Any course started is due in full. 4) Insurance cancellation and interruption of stay (Access-Mapfre Insurance / assistance) This insurance will reimburse the compensation for breach of contract indicated above as requirements under the contract. Cancellation insurance and internship interruption is optional.the price of this insurance is to 35 per week per intern. See terms of repayments before and during the internship. 5) The Franck Leroux Tennis Academy Reserves the right to cancel a course, the number of participants allows the formation of a group. To modify the time provided for all relevant reasons for the smooth running of the course. In case the course is canceled, we will refund the full amount paid without further compensation. 6) Medical fees The medical expenses for illness or accident are sometimes advanced by Franck Leroux Tennis Academy. In this case, parents undertake to repay the sums advanced within a maximum period of one month after the date of stay. 7) group life Participation in a holiday implies acceptance of the rules of collective life. Any conduct detrimental to the functioning of living by challenging physical and emotional safety of other students, use of tobacco, drugs, alcohol and theft in any form is strictly prohibited, non -compliance these rules would mean the return of the trainee return then performing at the parents' expense, and the stay is due in full. 8) pics I authorize Franck Leroux Tennis Academy to use for its business documents and communication photos of my child taken during the course. SIGNATURE: 5

6 INSURANCE CANCELLATION / INTERRUPTION STAY* STAGE OF TENNIS 2019 (Optional) For what safeguards are you covered? CANCELLATION GUARANTEES all causes unless specified exclusions below cons FRANCHISE Exclusions GENERAL EXCLUSIONS: -Consumption drugs, all narcotic substances mentioned in the Code of Public Health, medicine and not prescribed by a physician treatment -The consequences of traffic accidents caused by the insured when it is under the influence of alcohol characterized by the presence in the blood of a blood alcohol level at the maximum rate allowed by regulation in force in the country where the accident occurred, -The consequences of alcoholic states, intentional acts, fraudulent faults, -L'inobservation conscious by the insured of the laws and regulations of the State of the place of stay, -Suicide or attempted suicide of the insured, self-harm -Participation in paris, crimes, brawls (except in self-defense) -Damage caused intentionally by the insured, by his order or with its complicity or assistance, -Of to infectious risk situations and their consequences in epidemic context subject to quarantine or preventive measures or specific surveillance by local health authorities and / or national of the country of origin - Accidents resulting from the practice of sports by the insured as part of an official competition organized by a sports federation and for which a license is issued and training for competitions. The internship in playing tennis are, in turn, guaranteed. Besides these GENERAL EXCLUSION, are not guaranteed, the consecutive cancellations: -At illnesses or accidents have been the subject of a preliminary diagnosis, treatment, relapse, an aggravation or hospitalization between the date of booking the trip and the date of subscription of this contract, -A psychic or mental or depressive illness without hospitalization or resulting in hospitalization of less than 3 days. 3% with a minimum of 15 / person for the following cancellation reasons: -Death, serious personal injury, serious illness of the insured or a family member -Death uncles, aunts, nephews and nieces of the insured, -Death, serious personal injury, serious illness of the professional replacement or child care -Damage or serious theft in professional or private premises of the insured, -Complications of pregnancy of the insured and their consequences -Against-indication or vaccination suites of the insured Convening for an organ transplant -Separation the married couple, civil partnership or living common-law marriage -Redressement tax of the insured -Damage the vehicle to the insured within 48 hours of departure Convening or administrative or professional event called before a court as a witness, juror of Assisi, or procedure for adoption of a child, convening a makeup exam, get a job or an internship job center, redundancy. Other causes: 15% with a minimum of 100 / person IF STAY INTERRUPTION GUARANTEES Exclusions GUARANTEED AMOUNTS all causes unless specified exclusions below cons In addition to the GENERAL EXCLUSIONS aboveare not guarantees, consecutive interruptions: -A aesthetic treatment, a cure, an abortion, in vitro fertilization and its consequences, -A psychic or mental or depressive illness without hospitalization or resulting in hospitalization of less than 3 days -A epidemics. Refund prorated unused ground services FRANCHISE ANY 6

7 SUBSCRIPTION FORM 2019 BEFORE THE STAGEIf one of the following occurs: - Serious illness, serious accident or death to: the student or a member of his family - Sprains, muscle tear, preventing affection for tennis - Considerable material damage to your property requiring your presence. - Economic trainee dismissal of the father or the mother. YOU WILL BE REIMBURSED : -30% of the course in case of an event occurring between the date of booking and the 15th day before the scheduled start of the course. -100% of the course in case of event less than 15 days before that date. DURING THE STAGE If any of the above incidents occur obliging you to shorten the course, except tendinitis and redundancies, you will be refunded the amount corresponding to the part of not conducted placement and already charged by the ACADEMY TENNIS FRANCK LEROUX. For courses with accommodation interruption of one course (without repatriation to home) is not guaranteed. PRICES (per person): 5 days : days : Days: 140 IF SNISTRE: Notify us within 48 hours, as soon as you are aware of the loss. SUBSCRIPTION FORM : to return to the course registration form, with payment to the order of ACCESS Insurance LAST NAME FIRST NAME : ADDRESS : CITY: POSTAL....CODE:... COUNTRY:... DATE OF COURSE:... AMOUNT OF COURSE:..... I enclose a settlement... (check payable to Access Insurance) Read and approved : Signature: 7

8 MANDATE 2019 Mandate to be completed for accommodation, FFT license 2019 or Access Insurance undersigned Mrs. Mr... (Name of student's parents) Gives warrant for his account to Mr Franck LEROUX: the organisation of his half-board accommodation at the "La Dune" at 156 BD de La Côte d'argent in Arcachon... (Date of the tennis course) Purchase of its FFT 2019 tennis license from the FFT or the Tennis Club of Arcachon (check only for foreigners) Purchase of the access insurance from Ace Europe Group (check only for foreigners) Date and signature 8