Burnside Park Tennis Club, Inc.
Burnside Park, Christchurch
PO Box 31-017, Ilam
e-Mail: admin@burnsideparktennis.com
www. burnsideparktennis.com
SENIOR Membership Application Form - 2015/2016 Season
Male
Female
Surname
First Name
Email
Phone
Mobile
Address
How did you find out about us:
Club’s Website
Friend/Family Member
Tennis Canterbury Website
Advertising
Other ____________________
CATEGORY OF MEMBERSHIP (for membership entitlements please see over)
The following discounted rates apply, only if subscriptions are paid in full by the last day of September 2015, Should the subscription
invoice be dated later than 1 September 2015 then no discount is permitted). Please see rear of sheet for pro rata subscriptions
(applicable from October to July).



Senior - Full Privileges Membership
$310.00
Senior Casual/Off-Peak Limited Privileges Membership
$155.00
Student (with ID) Full Privileges
$220.00
Student Casual (with ID) Off-Peak Limited Privileges Membership
$110.00
Social
$20.00
Membership year is from 1 August 2015 until 31 July 2016. Members joining from 1 November are entitled to a reduced
subscription on a pro-rata basis - see rear of sheet for amounts
Children under a Family membership are required to complete a separate Junior membership form
Family/Group memberships may be available on completion of senior and junior membership forms
Payments can be made by cheque, eftpos, or internet banking to
- please use your surname (family name) as a reference
ASB Bank 12-3147-0048918-00
Please submit my name to the Management Committee as a member of Burnside Park Tennis Club Inc.
If elected, I agree to the following terms and conditions of membership:
 I will abide by the rules and regulations of the Club.
 I agree to the Club making the above information available to Club members, other Clubs and to
Canterbury/New Zealand Tennis for the purpose of the efficient management and operation of
tennis
 All resignations must be made IN WRITING before the Annual General Meeting each year, and all
outstanding subscriptions must be paid in full.
Signature
Office Use Only:
_
Amount Received
Date: ________________________
$
Received By:
Date
Cash / Chq / Eftpos / DC
Rec No:
CATEGORIES OF MEMBERSHIP:
Senior/Student/ – Full Privileges Membership
Members are entitled to participate in all aspects of the Club, including but not limited to organised play
with tennis balls provided (Tuesday/Thursday mornings, Tuesday evenings, Saturday afternoons), InterClub,
free use of courts outside of organised times.
Senior/Student – Casual/Off Peak Limited Privileges Membership
Members are entitled to use the courts at no charge on weekdays before 3:00pm (excluding Tuesday and
Thursday mornings). Members are not eligible to participate in organised play or InterClub. They are,
however, welcome to participate in social/fundraising activities within the Club. This membership may be
upgraded to Full Membership on receipt of payment determined by the Club Secretary.
Family/Group - Full Privileges Membership
This entitles parents children under 19 years of age (as at 31 December 2015) to be Full Members of the Club.
Each family member is required to complete a Membership Application form. A matrix tool is used to
calculate subscription fee according to age, number and category of members.
ALL THESE CATEGORIES of membership are entitled to purchase a KeyCard to allow access to the
courts outside of organised times. The cost of these cards is $16.00. They are recoded each year
in September. There is no charge for recoding for the first two years, however, year three onwards
will attract a charge of $5.00 for recoding. See Club Secretary to purchase a KeyCard. The
KeyCards remain the property of the Club and must be returned upon resignation from the Club.
PRO RATA SUBSCRIPTIONS for the 2015/2016 season
Seniors 19 and over
Senior Casual
Student
Student Casual
Juniors 12 to 18
Juniors 11 and under
Juniors Learn-to-Play
2015
Aug
Disc
310
155
220
110
230
210
165
2015
Sep
Disc
310
155
220
110
230
210
165
2016
Oct
100
344
172
244
122
256
233
183
2016
Nov
90
316
161
226
116
234
214
167
2016
Dec
80
288
150
207
110
212
195
151
2016
Jan
70
259
138
189
103
191
175
134
2016
Feb
60
231
127
170
97
169
156
118
2016
Mar
50
202
116
152
91
148
137
102
www.burnsideparktennis.com
2016
Apr
40
174
105
134
85
126
117
85
2016
May
30
145
94
115
79
105
98
69
2016
Jun
20
117
82
97
72
83
79
53
2016
Jul
10
88
71
78
66
62
59
36