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CHIPSTEAD PLACE LAWN TENNIS CLUB

Application for Membership

Name:

Tel Number (Home and Mobile):

Emergency contact details/no:

Email Address:

Address:

 

Date of birth (if under 21):

Previous Experience:

Membership Type: Senior/Intermediate/Junior/Infant/Country/Non-Playing/Family (circle as appropriate)

Applicant's Signature:

Date:

 

                                     Subscriptions (membership year runs from 1st April to 31st March)

 

Fees joining before 1st September

Fees joining after 1st September

 Senior (over 21)

 £160.00 (£155**) - includes £35 joining Fee

 £97.50 - includes £35 joining Fee

 Intermediate (16-20) 

 £80.00 (£78**) - includes £20 joining Fee

 £50.00 - includes £20 joining Fee

 Junior (7-15)

 £35.00

 £17.50

 Infant (4-6)

 £15.00

 £7.50

 Country

 £55.00 - includes £20 Joining Fee

 £37.50 - includes £20 joining Fee

 Non-Playing

 £5.00

£2.50

 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 

 

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