If you'd like to join the Club, print this form, fill it in and send it to the Club Secretary, whose name and address are on the Home page.
If more than one member of the family wishes to join, it's only necessary to complete one form.
High Ercall Tennis Club
Membership Application
Your details:
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Name:
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Address:
Post
Code:
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Tel:
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Email
Address:
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Type of membership you require (tick
box):
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¨ Family (two adults and
one or more children)
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¨ Senior
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¨ Student (in full-time
education)
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¨ Tuesday
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¨ Country (living at least 20 miles from the Club
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¨ Special Family
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¨ Junior 10 or over
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¨ Junior under 10
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Details of others covered by this
application:
Adult(s)
(names):
Junior(s)
(names & dates of birth):
Please
sign below to indicate that you are happy to be included on the Club’s
membership database.
Signature: Date:
If this application includes anyone
under 16 the Declaration below MUST be completed
Details of a parent/guardian who can be contacted in case
of an emergency, if different to the details given above:
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Name
and relationship to child:
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Address:
Post
Code:
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Contact
numbers:
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Please
use the space below to describe any special care needs, dietary requirements,
allergies or medical conditions:
Parent/guardian
declaration (essential if applicant is under 16 years of age)
By signing and returning this form,
I agree to …………………………………………………………...… (name(s)) 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:…………………………
Name:……………………………………………………………..