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I / we wish to apply for membership of the club for the 2015/16 starting on 1 st
April 2015.
First Name……………………………….Surname………………………………………… Date of Birth.……/……/………..
BTM Number……………………………………..Rating…………………………….
Second Child
First Name……………………………….Surname………………………………………… Date of Birth.……/……/………..
BTM Number……………………………………..Rating…………………………….
Third Child
First Name……………………………….Surname………………………………………… Date of Birth.……/……/………..
BTM Number……………………………………..Rating…………………………….
and Name:…………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………
E MAIL:……………………………………………………….@................................................................
Medical conditions we need to be aware of:……………………………………………………………..
…………………………………………………………………………………………………………………
ALL British Tennis membership is free – you can log on to the LTA website and join your child up and opt in for Wimbledon tickets if interested.
I do not want for images of my child to be used in newspaper reports or on the club's website.
Please tick …….
Parents – Please tick if you are able to help with junior activities/tournaments/teams:……..
Junior
–Full tennis: for children age 13 to 18 years: £99.00 (or £82 for Junior sibling)
Young Junior
– Full tennis: for children age 10 to 13 years: £76.00
Mini Tennis Green
–age 10 and under: £55.00
Mini Tennis Orange –age 9 and under: £55.00
Mini Tennis Red –age 8 and under: £31.50
For payment details see over

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By cheque made payable to VALTC OR by Bank Transfer on or before 1 st May 2015 for the discounted fee, to Lloyds Bank: Sort code: 30-91-08 and Account Number 03266406 please put your full name as reference.
If you wish to pay by instalments, please arrange for a Standing Order for 10 equal monthly payments of the full fee and confirm this with Treasurer and or Secretary
Signed Parent ……………………………………………………..Date ……………………………
Data Protection Act: The Club maintains a database of members and their contact details. It undertakes to use this information only in pursuit of the aims and objectives of the club. It may also distribute this information to all members in order to facilitate communication between them.
I consent to my details being included in this information and solely for the above purpose.
I also undertake that I will use this information solely for the above purpose.
Signed…………………………………………….Dated…………………………………………..
If you wish to play with your child at any time, please join as a Parent member which is £37.00 for the year and add your details below:
Name: ………………………………………………………………..
Address:
………………………………………………………………………………………….
Mobile Nr: …………………………........
E Mail : ……………………………………………………..@............................................................