New Mills Tennis Club Membership Application Form 2017 Full name(s): ………………………….............................................................………………………………………………...……………………………………………………………………… DOB: ……………………………………………………………………...................................................................................................................................................................………………….. (Please state names and D.O.Bs of all members)

Address: ……………………………………………………………………………............................................................................................................................................................………… Postcode: …………………........................................……….. Email: ....................................................................................................................................................................................................................................... .................................................... Phone: ………………........................................................…...............…………

Phone 2: ……………….........................................................................……………………

Emergency Contact: ………………........................................................…...............………… Medical Conditions we need to be aware of, especially children: ........................................................................…………………… ..................................................................................................................................................................................................................................................................................................................

Type of Membership:

Standard Adult

Family

Senior

Junior

Team

Membership Fees 2017 Standard Adult: £90 Family: £140 (up to 2 adults and 4 children) Senior: £40 (65+) Junior: £40 (up to 16 or 18 if in full time education) Team: £65 I am interested in (please circle) Social Tennis

Team Tennis

Children’s Coaching

Adult Coaching

Photographs: From time to time we will be taking photographs to place on the Club website. Do you have any objection to us using these photographs. No child’s name will appear on the website, no adult’s name will appear without prior acceptance.

I am happy for my photograph to appear on the website:

Yes

No

I am happy for my child’s photograph to appear on the website:

Yes

No

Signature: ………………................................................................................…………………… Date: ………...........................................…………………………… Payment: Cheques should be made out to “New Mills Tennis Club” and sent to John Eary, 36 Parkway, New Mills High Peak SK22 4DU To help us work out the best way to reach new members, please tell us how you found out about the club:Website

Friend

Newspaper

Existing Member

Open Day

Other …………………....................................................................................................................................................................................................................................................................