Membership Form 2016 - Halesowen tennis club

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Membership 2016
HACC - Tennis Club
Information for applicants:
 Subscriptions are from 1 January to 31 December inclusive.
 Parent(s)/Guardian(s) should complete the application form on their child/children’s
behalf. NB: Membership is required annually, in addition to monthly coaching fees.
 Family membership: Please give full names of each family member and dates of birth.
 Junior ages are operative as of 1 January 2016.
 Senior Citizen category applies when you reach state pension age.
 Shoe fobs must be worn as proof of membership.
 Off-peak membership (9a.m. – 5p.m. week-days) is 50% of the full fee. With no lights.
 Parent membership gives you access to courts with your child when the courts are free
and are not in use for any of the priority sessions published on the court schedule.
 Members who have already paid a subscription to the HACC Main Club via another
section should make this known to the membership secretary as this is a one-off fee
and will not be added in the Tennis Section fees.
 Cases of hardship may be eligible for a reduction in fee. A detailed letter should be
presented to the committee for consideration.
British Tennis Membership (The Lawn Tennis Association: www.lta.org.uk)
As a Tennis Club Member you are automatically eligible for British Tennis Membership and
you will be signed up for membership unless you opt out. As a member you will be eligible for entry
into the Wimbledon ticket ballot, receive a monthly e-newsletter and have access to the onlinemembers only area.
Tick this box if you wish to opt out:
Adult
Senior Citizen
Adult Couple
Family (Adults plus their
children living at home)
Student (away) 19 - 21 yrs
Student (at home) 19 - 21 yrs
Young adult 16-18
Junior under 16
Parent membership
Fee for tennis
section
membership
2016
£205.00
£101.00
£348.00
£433.00
Tennis
membership
paid before
January 31st
£186.00
£92.00
£316.00
£393.00
Off Peak
(9am -5pm
week days only)
£87.00
£105.00
£69.00
£36.00
£50.00
£79.00
£95.00
£62.00
N/A
N/A
N/A
N/A
N/A
£103.00
£51.00
£175.00
£217.00
Off Peak
membership
paid before
January 31st
£93.00
£46.00
£158.00
£195.00
N/A
N/A
N/A
N/A
N/A
N/A
N/A
All full membership fees entitle you to all year round tennis up until 10.00pm.
The information on this form is held on computer solely for administration reasons and will not
be passed to a third party without permission.
I hereby agree to conform to the Rules & Conduct Rules of the Club which are displayed on
the committee notice board in the club house.
NB This agreement is the responsibility of a Junior’s parent(s)/guardian(s).
Signed : ...................................................... Name: (please print) ......................................................
We publish a number of newsletters throughout the year and include photographs of events. We also intend to include
photographs on the HTC website. If you DO NOT want your image or that of your child(ren) to appear, please list
below :
The following members must not have photographs published: ................................................................................
The Application
Full name/s of the person(s) making this/these applications: (please print)
Mr/Mrs/Ms/Miss………………..............................................................…………………..........................
Address……………………………………………………………………………………………………………
….............................................................................................................…. Postcode.…………………
Tel No ………………………………….......... Mobile ……….................……………………………………
Email Address…………………………………………………………………………………........................
NB. If you are NOT happy for contact details to be passed on to other members of the tennis
club, please put a cross in the box.
Names and DOB(s) of those seeking membership (please print):
Name of applicant
Date of Birth
Age on 1st January
2016
British Tennis
Membership No
(if applicable)
1
Mobile:
Email:
2
Mobile:
Email:
3
Mobile:
Email:
4
Mobile:
Email:
Please send completed application form with your subs (cheques to be made payable to HACC Tennis Section) to membership secretary: Mike Lambert, 46 Bartley Woods, Birmingham
B32 3RB. Queries to: m.lambert@wlv.ac.uk
For BACS payments: Sort Code: 20-27-17 Account Number: 70552100 PLEASE quote REF: YOUR FAMILY NAME.
Membership shoe fobs will be placed in the clubhouse unless a SAE is enclosed. Important
information and a copy of the club handbook will be emailed to you.
Is this an
off-peak
application?
Number in
each
category
Cost
Additional information
Off-peak membership: 9am5pm week-days only (no
lights). See fees overleaf.
Adult
Senior Citizen
Adult Couple
Family (Adults plus their children
living at home)
Student (away) 19-21 yrs old
Student (local) 19-21 yrs old
Young Adult 16-18 yrs old
Junior Under 16 yrs old
N/A
N/A
N/A
N/A
Parent membership
N/A
TOTAL enclosed
Juniors wishing to pay for
winter lights – add £5.00
£
Are you adding £5.00 to each Junior
membership? Yes/No
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