Membership Form

2011/2012 CLUB MEMBERSHIP FORM

Return the completed form to the Membership Secretary: Dee Jones 29 Wick Green, Grove, Oxon, OX12 0AS.

Cheques should be made payable to Wantage Tennis Club

I/We agree to be bound by the rules of Wantage Tennis Club. [A copy of the rules is displayed on the Club notice board. Please note especially that only appropriate tennis shoes may be worn on court.]

Signed: ____________________­­­­­­­­­­­­­­__________________________ Date: _________/____________/2010

Parents signature for juniors: ____________________________

Date of birth (Intermediates & Juniors): ______/______/_____

Date of birth (Intermediates & Juniors): ______/______/_____

PERSONAL DETAILS

(Families – please give the names of adults and juniors* to be included)

NAME(S):

ADDRESS:

Post Code:

Tel: Home________________ Work_________________ Mobile_______________________________

E-mail:______________________________________________________________________________

Are you and your family a member of British Tennis?                    Yes              No

If Yes, Membership Number(s):_____________________________________________________________

If not, you can join for free on-line:  http://www.lta.org.uk/britishtennismembership/

Please note that Subscriptions are due at the start of the new season on the 2nd April. New keys will be issued on Saturday 2nd and 3rd April, 10:00 to 13:00. Non paid-up members are not eligible to play in league teams or enter the Wimbledon ticket draw.

* Please complete the attached Junior Club Membership Form on page 5.

** There is no fee payable for mini junior children of adult members. All mini juniors MUST be accompanied by a parent/guardian unless under supervision by the Club coach.

*** Two adults with their children (juniors only). Additional family members, e.g. adult or intermediates, require additional individual memberships.

# Includes a £5 deposit for a club key.

Please tick if you would like to:

       Join the committee

       Help with junior activities

(parents of juniors welcome )

       Play in inter-club matches

       Wish to have coaching

If you said you wanted coaching, which type are you interested in?

       Juniors           

       Adults Beginners/Improvers

       Adults Intermediate/Advanced

JUNIOR CLUB MEMBERSHIP FORM 2011/2012

Welcome to Wantage Tennis Club.

In order to provide a safe club for all our junior members, and to keep you up to date with club activities, we would like you to tell us some information about yourself.

Please complete this form and get a parent or guardian to sign it if you are less than 16 years old.

Please return the form to: Dee Jones, 29 Wick Green, Grove, Oxon, OX12 0AS

Name (please print):

Date of birth:        

Gender:    Male / Female (delete as appropriate)

Telephone – Home:____________________Mobile:__________________               

Address:

Email address:

Please provide details of a parent/guardian that we can contact in case of an emergency:

Name (please print): 

Relationship to child:

Telephone – Home:____________________Mobile:__________________Work:___________________                                   

Address:

Email address:

Please use the box below to describe any special care needs, dietary requirements, allergies or medical conditions: 

Are you a member of British Tennis?                       Yes              No

If Yes, Membership Number(s):_____________________________________________________________

If not, you can join for free on-line  http://www.lta.org.uk/britishtennismembership/

Member’s signature:

Signed:_________________________________________________Date:___________________

Parent/guardian declaration (essential if applicant is under 16 years of age)

By signing and returning this form, I agree to……………………… (Child’s name) taking part in the general activities of the club. He/she has agreed to follow the junior rules of the club, and I agree to accept the code of conduct for parents.  To my knowledge, he/she has no special care needs, dietary requirements, allergies or medical conditions that could affect his/her safety at the club, other than those declared on this form. I understand that in the event of any injury, illness or other medical need, all reasonable steps will be taken to contact me, and to deal with the situation appropriately. I understand that I must inform the club of any changes to the information provided on this form.

Signed:                                                                  ______________________             Date:_______________________