Request Portal Access – IQ Open Tour

Student Name

First

Last

Student Date of Birth

Student Phone Number

Student Email

Parent Name

First

Last

Parent Phone Number

Name Agreements Player

Parent Email Address

Guardian Name

First

Last

Gaurdian Phone Number

Player Level

Legal Agreements & Releases

I grant permission for the Photo/Media Release (under 18 requires parent signature)

By checking the boxes below, I, the parent/guardian of the student, hereby release Stafford Tennis from any liability and grant permission for student photos to be used in academy portals and marketing

https://staffordtennis.com/portal/request-portal-access