<p> MEMBERSHIP APPLICATION FORM 2017</p><p>JOINING FEES</p><p>Membership Categories Full Individual...... Includes 1 access fob Family 2 adults and 2 juniors/students Includes 2 access fobs Off-Peak must play outside 5.45pm-9.30pm Mon–Fri Includes 1 access fob Senior 60 and over Includes 1 access fob Student 18 to 21 (or older with student card) Includes 1 access fob Junior up to 17 Social non-playing (includes access to Club Bar)</p><p>The club’s subscription year runs from 1st October. New members are welcome to join at any time of year and the following reduced rates will apply depending on the month of joining. New members on joining will receive an access fob as per the membership details above.</p><p>Month of Joining Renewal Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Year Full- Individual £164 £151 £138 £125 £113 £100 £87 £74 £61 £48 £35 £23 £154 Family £256 £236 £217 £197 £177 £158 £138 £118 £98 £79 £59 £39 £236 Off-Peak £123 £114 £104 £94 £85 £76 £65 £57 £48 £39 £29 £19 £113 Senior £118 £109 £100 £91 £82 £73 £64 £55 £46 £37 £28 £19 £108 Student £41 £41 £41 £41 £41 £35 £35 £35 £30 £30 £25 £17 £31 Junior £31 £31 £31 £31 £31 £25 £25 £25 £20 £20 £15 £7 £31 Social £25 £25 £25 £25 £25 £20 £20 £20 £20 £15 £15 £10 £25</p><p>Additional Items Replacement or additional access fob £10.00 Court fees are £2.00 booking fee + £2.00 lights Juniors book for free outside peak periods Guests fee (max.6 games per guest per year) £ 2.00 (Place in Honesty Box before playing)</p><p>Juniors under 16 years can be added to any adult membership at no charge. Juniors under 16 MUST be accompanied by an adult at all times whilst on club premises. Juniors of 16 or 17 years can purchase an access fob for their own use at a cost of £10.00.</p><p>Fully paid up members of other sections of Warlingham Sports Club will be entitled to £10.00 discount per year off the Joining Fee and off their Annual Renewal while a member of that section (£5.00 per year for Juniors/Students)</p><p>Members of Tandridge Leisure will receive a 20% discount on our annual rates.</p><p>Please email [email protected] for further information.</p><p>Please complete the accompanying Application Form</p><p>Church Lane, off Church Road, Warlingham, Surrey, CR6 9PR 24/01/2017 APPLICATION FOR MEMBERSHIP (Please print clearly)</p><p>Name: ……………………………………………………………...... …...... ……….…….. ………</p><p>Address:…………………………………………………………………………………………….....</p><p>E-mail address: ……………………………………</p><p>TelephoneNumbers:Home:………..……………Work…………...…..……..Mobile:………....…</p><p>Emergency Contact: Name: ……………………..……Number: ………………………...…</p><p>When applying for Family Membership please add the following information:-</p><p>Additional Adult Name:...... Email:...... Work:...... Mobile:...... </p><p>Junior/Student: Name:...... DOB: ……………………</p><p>Place of Education: …..……………………………...... ………</p><p>Junior/Student Name:...... DOB: ..……….....………</p><p>Place of Education: …..…………………...... ………..………..…</p><p>Membership Category applied for: (please circle ) Full / Family / Off-Peak / Senior / Student / Junior / Social</p><p>Amount : £ ……..…(New members see table above)</p><p>Signature: ...... Date:...... </p><p>I do not want Warlingham Squash and Racketball Club to send my email address to England Squash so that England Squash can send me an email inviting me to join englandsquash.com as a member of this club. </p><p>PAYMENT OPTIONS 1. For convenience and speed we prefer a Bank Transfer if possible: Account name: Warlingham Squash Club Sort code: 72 00 05 Account number: 99906707 Please ensure that you place your initial and surname on the transfer details so that we can identify your payment. Then email your completed Form to [email protected]</p><p>2. By personal cheque payable to: Warlingham Squash Club Then send with your completed Form to: WSRC Membership, Warlingham Sports Club, Church Lane, Warlingham, Surrey, CR6 9PR Or leave behind the bar in the clubhouse labelled: For the attention of Andy Thorpe</p><p>Church Lane, off Church Road, Warlingham, Surrey, CR6 9PR 24/01/2017</p>