Application Form 1St April 2017 31St March 2018

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CALNE TENNIS CLUB Application Form 1st April 2017– 31st March 2018

Type of Membership Subscription Instalments I’ve made a I enclose a (Only applies BACS cheque for: to Full adult Payment for: and Family Membership Adult – Full Membership £110 3 instalments of £40 Adult * – Off Peak (restrictions – see £60 below) Junior (11-17 years) £33 Junior (Under 11 years) £22 Tots (2-4 years) £6 Family * (Two adults and children 18 £230 3 instalments of and under as at 1st April 2016) £80 Student * (Over 18 and in Full time £55 education) Senior (Over 60) £82.50 Over 80 Free  Off Peak Members are free to use the courts during the week, subject to availability, but NOT WEEKENDS, cannot attend club sessions or play in matches  Subscriptions must be paid by 21st April 2017 or a LATE PAYMENT fee of £10 will apply  Instalment payments only due 1st April, 1st July and 1st October

Please complete this form and email back to [email protected] For juniors, parents must sign and return to give or refuse permission for publicity at the club. Preferably payment by BACS to: Account No: 31052608 Sort Code: 40-16-04 (HSBC) PLEASE ENTER MEMBERSHIP CATEGORY IN REFERENCE BOX e.g. Adult, Junior etc Alternatively please post membership form and payment to: Catherine West 10 Riverside, Calne Wiltshire SN11 0LF

Members Details please complete in BLOCK CAPITALS

Email:...... (Essential if you want to keep up with what is going on)

Name Date of Birth Are you a British Tennis If NO, do you give Member YES/NO (Please permission for CTC to sign indicate) you up? YES/ NO

Main Contact (must be aged over 18) ...... Tel...... ’

Mob……………………………………………… Post Code......

Address: ......

……………………………………………………………………………………………………………. British Tennis Membership As a club we are supportive of the LTA membership scheme for British Tennis. We strongly recommend that all our players join as this helps with all aspects of funding and increases our Wimbledon ticket allocation. All junior members should also be registered as we can then help them gain ratings points.

EXTRA INFORMATION REQUIRED FOR JUNIORS ONLY (to be completed by Parent/Guardian) In accordance with LTA child protection guidelines I give/refuse (please indicate) permission for …………………………………………………………. to be involved in any publicity, including photographs and TV footage, surrounding activities organised by Calne Tennis Club

Signed:

Relationship to child:

All data is kept confidential and only used for club records and mailings. Photographs may be taken at club activities and used for publicity purposes. www.calnetennisclub.com

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