CHIPSTEAD PLACE LAWN TENNIS CLUB
Application for Membership
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Name: |
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Tel Number (Home and Mobile): Emergency contact details/no: |
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Email Address: |
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Address: |
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Date of birth (if under 21): |
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Previous Experience: |
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Membership Type: Senior/Intermediate/Junior/Infant/Country/Non-Playing/Family (circle as appropriate) |
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Applicant's Signature: |
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Date: |
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Subscriptions (membership year runs from 1st April to 31st March) |
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Fees joining before 1st September |
Fees joining after 1st September |
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Senior (over 21) |
£160.00 (£155**) - includes £35 joining Fee |
£97.50 - includes £35 joining Fee |
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Intermediate (16-20) |
£80.00 (£78**) - includes £20 joining Fee |
£50.00 - includes £20 joining Fee |
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Junior (7-15) |
£35.00 |
£17.50 |
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Infant (4-6) |
£15.00 |
£7.50 |
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Country |
£55.00 - includes £20 Joining Fee |
£37.50 - includes £20 joining Fee |
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Non-Playing |
£5.00 |
£2.50 |
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Family (2 adults + children) |
£275.00 |
£137.50 |
**Discount applies to subscriptions received by the Treasurer by 26th April.
Parent/guardian declaration (essential if applicant is under 16 years of age)
By signing and returning this form, I agree to ……………………………… (child’s name) 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:……………………………………………………………..
Notes:
1. Ages are as at 1stJanuary.
2. Subscription rates (but not Joining Fees) are reduced by 50% for new members only joining after 1st September.
3. Please make cheque payable to CPLTC. Thank you.
Applications should be sent to the Membership Secretary:
Ian Hooper, 100 Marlborough Crescent, Sevenoaks, Kent TN13 2HR
