Cringleford Tennis Club Membership Form 2010/1

NEW MEMBER APPLICATION FORM 2017-18

First Name Surname D.O.B.1 BTM number2

(1,2 etc. please see explanatory notes attached) Address Telephone Home: Mobile (s):

Email (1)3 Email (2)

Club information is circulated via email and on the website. All data held by CTC complies with the Data Protection Act. Please indicate (by ticking the box) if you do not wish your email to be shared with other CTC members. I do NOT wish to share my email address with other CTC members.

Membership fees (01.04.17–31.03.18) Please tick as All adult subscriptions are encouraged to include 100 club membership3 appropriate

Family (Two adults plus up to four juniors/students) 3 £187.00 Couple/2 adults (two tennis-playing adults at same address) 3 £165.00 Half Family (One tennis-playing adult plus up to four juniors/students) 3 £110.00 Adult (Over 16 on 01.04.17) 3 £88.00 Senior Citizen (Over 65 on 01.04.17) 3 £66.00 Student (Over 16 on 01.04.17, and in full-time education)4 £55.00 Junior (Under 16 on 01.04.17) 8 £22.00 Court key5 £5.00 £5.00 100 club ticket3 (extra tickets available – just add £10 per ticket) £10.00 £10.00 Please attach cheque payable to Cringleford Tennis Club or cash (in person only) or a copy of a payment instruction: sort 40-35-09 Total £ acc. no. 72161419 Child Protection7 CTC complies with the guidelines for child protection published by the LTA) I/we do NOT want CTC to publish any images of our children on the CTC website

Declaration I/We have read and accept the Club Rules and Health & Safety policy detailed on the website. Signed (parent, if junior membership):

Please post this form together with your cheque and a stamped addressed envelope for your shoe tag(s) and key to: Rosana Scott, 11 Oakfields Road, Cringleford, Norwich NR4 6XE ([email protected] tel 01603 569099 Alternatively, see note 6 overleaf for on-line submission and payment. NEW MEMBER APPLICATION FORM 2017-18 Further Information

Membership Form notes:

1 Juniors and Students: Please enter Date of Birth. 2 British Tennis Membership: If you are not yet a member of British Tennis, please visit: http://www.lta.org.uk. Registration is the only way to obtain Wimbledon tickets: BT membership costs you nothing and helps this club to apply for more tickets. 3 100 Club Draw: We encourage members to make an additional voluntary contribution to the 100 club (£10 per adult membership). This will give you the chance to win a cash prize when the names are drawn (four times a year). 30% of the annual revenue from the 100 club is returned as prize-winnings but the scheme also generates significant additional revenue for the club. 4 Student: Please provide details where student is over 21. 5 Court Keys: If you require an additional key, the cost is £5.00. Maximum of two keys per membership. If you decide at a future date not to renew your CTC membership, please make sure you return your key. You will receive a £5 refund. 6 On-line Submission and Payment by Bank Transfer: If you prefer, you can complete the registration form (Word document) on-line and submit as an attachment to [email protected]. If you opt to pay on-line, please identify yourself as the Payee Reference (CTC/Name) and send proof of the completed bank transfer with your membership form You will still need to provide a stamped addressed envelope for the shoe tags. Alternatively, on confirmation, you can collect your shoe-tags from Rosana Scott, 11 Oakfields Road, Cringleford NR4 6XE – you will be sent an email explaining how 7 Use of Images of Children/Young people under the age of 18: – please tick this box if you do not want any photos published on the club’s website and/or Newsletter. All images used for publicity involve un-named children and comply with the LTA guidelines (see the LTA’s website: http://www.lta.org.uk ). Gill Ellis is the Club’s Welfare Officer responsible for young people and vulnerable adults. 8 Juniors under 10 years are only allowed on court if supervised by an adult. If parents/carers wish to practise with their children on CTC courts, it is necessary to take out half-family or full-family membership and obtain a court key (£5)

Club Information: All information about the club, including details of club sessions, tournaments and social events, is published on the club website: http://www.cringlefordtennis.net

Shoe Tags: Once your membership fee has been received, you will be issued with a shoe-tag (via the stamped addressed envelope). Alternatively, you can collect your shoe-tags from Rosana Scott, 11 Oakfields Road, Cringleford NR4 6XE.

IT IS VITAL YOU WEAR YOUR SHOE TAG ON COURT TO PREVENT EMBARRASSING CHALLENGES AS TO YOUR MEMBERSHIP – HAVING IT IN A BAG OR SIMILAR IS NOT ACCEPTABLE