STEPPS LAWN TENNIS CLUB – Part Year Membership
MEMBERSHIP APPLICATION: 1st April 2017 (part year) to 31ST March 2018
MEMBERSHIP TYPE / COST / COST WITH DISCOUNT / £FAMILY - 2 adults & any dependant children under 18yrs* / £380 / £285
SENIOR – over 18 yrs* / £185 / £140
SENIOR CITIZEN SUMMER ONLY –over 60 yrs / £95 / £70
STUDENT – in full time education or Unemployed – over 18 yrs* / £95 / £70
JUNIOR 2 – Full Junior/Yellow (aged 18 & Under)* / £95 / £70
JUNIOR 1 – Mini Orange/ Mini Green (10 & Under)* / £70 / £52
MINI RED/PURPLE – up to 8 yrs / £40 / £30
MINI RED/PURPLE PARENT – Only allowed to play with Mini Red /Purple Child / £40 / £30
KEY for external door to clubhouse / £5 / £5
Key for internal door (only for use by Adults) / N/A / N/A
* Junior 2 - not attained the age of 18 years by 31ST March 2017 - aged 10-18 years * Senior – attained the age of 18 years by 31st March 2017
* Junior 1 - not attained the age of 10 years by 31st March 2017 – currently 9 years
PLEASE COMPLETE DETAILS OF ALL MEMBERS IN TABLE BELOW:
SENIOR / JUNIOR / FULL NAME / MALE/FEMALE / DATE OF BIRTH / BTM NUMBER ** If you do not have a current BTM number, we will apply for one, free of charge, on your behalf. Your British Tennis Membership number (BTM) will be emailed to you and you will be sent confirmation from the LTA.
ADDRESS: * ______HOME TEL: * ______
______MOBILE: * ______
POST CODE: * ______EMAIL: *______
CHEQUES SHOULD BE MADE PAYABLE TO STEPPS LAWN TENNIS CLUB AND SENT TO: MRS KATHY SHIELDS, CLUB TREASURER, 9 CARDOWAN DRIVE, STEPPS, GLASGOW. G33 6HE
I/We apply for membership of Stepps Lawn Tennis Club and if accepted agree to abide by the rules of the club.
1/We give permission for the information above to be stored on the club data base. Match secretaries and/or committee members occasionally request contact details, and I/we consent to this.
I/We will inform the club of any changes to the information provided on this form.
SIGNED: DATED:______
______
PARENT/GUARDIAN DECLARATION (ESSENTIAL IF ANY APPLICANT IS UNDER 16 YEARS OF AGE)
EMERGENCY CONTACT DETAILS: NAME: ______HOME TEL:______MOBILE:______
The above named person applying to become a junior member has health/care issues which could affect his/her safety at the club e.g. diabetes, asthma, allergies, and of which the club should be aware. YES: NO:
IF YES, PLEASE PROVIDE DETAILS: ______
I give permission for the above named Junior member to be involved in any publicity (including the use of still or moving photographs) used by the club for training or promotion. YES: NO:
By signing and returning this form I agree that the above named Junior/s:
ü can take part in general club activities
ü has agreed to follow the rules of the club applicable to junior members
And I agree to:
ü accept the code of conduct for parents **
ü accept the club policy on transport of players to junior matches **
I understand that in the event of any injury, illness or other medical need, all reasonable steps will be taken to contact me, and deal with the situation appropriately.
PARENT/GUARDIAN’S SIGNATURE: ______DATE:______
** - can be found on www.steppstennis.co.uk under Junior Teams
The Stepps Lawn Tennis Club is a Charity Registered in Scotland – SC 041417. www.steppstennis.co.uk