Vernon Tennis Association

Revised: April 5, 2018 Revised: April 18, 2016 VERNON TENNIS ASSOCIATION www.vernontennis.com REGISTRATION FORM* (Please print this form) Please complete the registration form and mail a cheque or money order payable to: Vernon Tennis Association FEES: Adult Membership (18+ yr) = $70, Junior Membership (13-17 yr) = $35, Family Membership: (3 or more immediate family members) = 20% off regular Adult membership fee Early Bird Membership = $60/adult if received by April 30th of the present year. Mail to: Marsha White 5316 Pearson Rd., Vernon, V1B 3K8 - Phone: 250-558-1555 (or give to any Board Member on the Court) MEMBER’S NAME: ______Membership No: ______(To be completed by Registrar) Membership for Spouse or Partner:______Membership No: ______(To be completed by Registrar) CHILDRENS’ NAME(s) and ages: ______Age: _____ (Ages: 13-17 Yrs. If they intend to become members now or at a later date and live at the same address as above.) ______Age: ______Age: _____ MAILING ADDRESS: ______Postal Code:______City PHONE: Home: ______Work/Cell: ______EMAIL ADDRESS: ______(Recommended for ease of communication) LEVEL OF PLAY: see Rating Page on www.vernontennis.com for complete description of the “Self-Rating Guide”): Yourself: ______Spouse/partner (If a paid member): ______Child(ren) (If a paid member 13-17 yr.______I will allow my phone number and/or my email to be on a list of members distributed to VTA membership only: (circle one) YES NO (no mailing addresses are published) (Names of juniors (under 18 yrs.) will not appear on any public list. Juniors will be contacted by VTA members each time junior programs are available.) How many Memberships are included in your registration fee? ______(Include Junior Members 13-17 years of age if you are paying for them also.) Cheque or Cash in the amount of ______must be included with Registration. Enter Amount MEMBER’S SIGNATURE: ______Date: ______*Any VTA membership purchased will be eligible to receive a 15% discount on one Recreation Services registered tennis program or lesson set subject to space availability. You must note your VTA membership number on the form when your register for the Recreation Services program.*