email: wokinghamtennismembership@gmail.com
APPLICANT INFORMATION
Name: Mr / Mrs / Miss / Ms / Dr
Address:
Postcode:
Email: please print clearly
Are you interested in playing matches for the club?
RENEWAL?
DOB:
Phone (home):
Phone (mobile):
*BTM No:
YES / NO
YES / NO
SPOUSE /PARTNER INFORMATION (for Family Membership)
Name: Mr / Mrs / Miss / Ms / Dr
Email: (if different)
Are you interested in playing matches for the club?
YES / NO
CHILDREN (for Family Membership)
Name:
Name:
Name:
web: www.wokinghamtennisclub.com
DOB:
DOB:
DOB:
DOB:
Phone (mobile):
*BTM No:
*BTM No:
*BTM No:
*BTM No:
Do you give consent for use of photographic images of under 18s on tennis club promotional media?
Does your child(ren) have any special care needs, dietary requirements, allergies or medical conditions?
Please attach all necessary information separately.
ASSOCIATED PARENT/GUARDIAN DETAILS (for Junior Membership)
Name: Mr / Mrs / Miss / Ms / Dr
Phone (home):
YES / NO
YES / NO
Email:
Mobile:
*British Tennis Membership:
British Tennis Membership is free for members of Wokingham Tennis Club as we are a registered club of the Lawn Tennis Association. You
will need to sign up by visiting https://www3.lta.org.uk/Members/Join and enter Wokingham Tennis Club as the LTA Registered Place to
Play. This website also gives more information about the benefits of being a British Tennis Membership. You will also be able to use your
BTM log-in details to book a court using our online court booking system.
SUBSCRIPTIONS (please circle the appropriate category)
Renewal Cost
Cost
Payment received
before 1st April 2015
and renewals received
after 1st April 2015
Existing Members
Category
Definition
Family
Adult
Senior
Midweek
Young Adult
Junior
Mini Junior
Ball Machine
Members of a family living at the same address
Aged over 23 years as at 1 April 2015
Over 60 years as at 1 April 2015
For play Monday to Friday, dawn until 5.30 pm
Aged 18-22 as at 1 April 2015
Aged 10 – under 18 as at 1 April 2015
Aged under 10 as at 1 April 2015
Use of ball machine for the season
£200.00
£130.00
£75.00
£65.00
£70.00
£30.00
£15.00
£20.00
New Members
£210.00
£135.00
£80.00
£70.00
£75.00
£35.00
£20.00
£20.00
For new members joining after 31.07.15 – 25% reduction in fees; After 30.11.15 – 50% reduction in fees.
DATA PROTECTION
In order to maintain a list of members, Wokingham Tennis Club holds the information detailed on this form for all members on a computer. The purpose is to be able to give you club information and
for team captains to contact match players. A membership list is printed and distributed to committee members from time to time with a copy being displayed in the clubhouse. Your signature on this
form confirms that you consent for your information to be stored, printed and distributed as stated. Your consent enables the club to conform with provisions of the Data Protection Act 1998. In the
case of a Family Membership, one signature will suffice.
I/We enclose a cheque for the subscription, made payable to Wokingham Tennis Club for the amount of £ ___________
I/We have paid direct to the club’s bank account the amount of £ ___________
Name of Account: Wokingham Tennis Club
Sort Code: 40-47-09
Account Number: 00498343
If you pay direct into the club’s account, please send an email to
wokinghamtennismembership@gmail.com confirming date of payment, name,
membership category and amount of payment for reconciliation purposes.
I/We agree to conform to the Club’s rules, a copy of which is displayed in the clubhouse.
Signature: __________________________________________________________________
Date: ____________________
Please send this form (together with any payment by cheque) to the Membership Secretary:
Mr Mike Childs, ‘Mandalea’, 2 Great Lea, Three Mile Cross, Reading, Berkshire, RG7 1NU
New members will receive an email on receipt of subscription and an email advising new access and exit codes will be sent to all registered members
in early May and individually thereafter.
Would you be interested in joining the committee if a place becomes available?
Do you have a specific area of expertise, e.g, legal, finance, marketing etc? Please specify:
YES / NO