WHALLEY RANGE CRICKET & LAWN TENNIS CLUB APPLICATION FOR MEMBERSHIP Please make sure the form is clear and legible Name …………………………………………………………………………………... Name of Parent/Guardian (if under 16) …………………………………………… Address ………………………………………………………………………………... ………………………………………………………………………………….. Phone Number …………………………… Mobile Number ………………………. E-Mail Address ……………………………………………………………………….. Date of Birth ( if under 18 ) ………………………………………………………….. Type of membership ………………………………………………………………….. Amount Paid ………………………………………………………… cash/cheque Emergency contact (if under 16) Name…………………………….....................Contact Number ……………………………. Relationship …………………………………. Please send your remittance to: Anne Gamble 13 Boddens Hill Road Heaton Mersey Stockport SK4 2DG 0161 442 7337 - anne.gamble197@btinternet.com You will then receive the handbook. Cheques should be made payable to WRC& LTC You can also pay directly into this account Sort Code 010978 Account Number 30948045 Current Rates Senior Playing £110 ** Senior Citizen ( 60+ ) £60 Full -Time Student £40 Junior ( 16 – 18 ) £30 Temporary Junior ( Under 16 ) £20 * Family ( 2 parents & children under 16 ) £220 ** Social £10 * For insurance purposes, an additional £10 Adult Social Membership Fee is also payable. ** There is a £10 discount for Senior Playing Members and a £20 discount for Family Members, if payment is made before May 31st. The lower rate also applies to new members. Junior Members - Photography and Filming Parent/Guardian - please sign as appropriate. I give permission for _______________________________ to be involved in any publicity, including photographs and TV footage, surrounding activities organised by Whalley Range Cricket and Lawn Tennis Club. Signed:________________________________________________Date:_____________________ Relationship to child _______________________________________________________________ New tennis members can obtain a key for the courts from Abi Harris (226 9099) on payment of a £5 refundable deposit. Please pay this separately to Abi