PT CHEVALIER HALLYBURTON – JOHNSTONE TENNIS CLUB
335 Pt Chevalier Rd, Pt Chevalier PH: 8495730
Postal address for cheques: The Treasurer, c/o 93 Kiwi Rd, Pt Chevalier
Bank a/c for payment by internet banking 12-3020-0371064-00
Application for Membership for 2015 – 2016 Season
Type of Membership:
Senior / Senior Interclub / Junior (17 and under) / Family / Student / Midweek / Senior Citizen
Surname:
Postal Address:
First name
Date of Birth:
Phone No: (home)
Phone No: (work)
Mobile:
Email:
Name of parents/guardian (Juniors):
How would you like to receive your newsletters? (Circle)
Email
Post
The details provided above will only be used by the club for communication purposes. Your details will
not be available to any organisation other than Auckland Tennis Inc.
Family Memberships or Multiple memberships please complete below
If only one person joining, please complete top section only.
First name:
Date of Birth
Interclub?
Surname:
(Juniors only)
Male/
Female
M / F
M / F
M / F
M / F
M / F
Annual subscriptions (GST Incl):
Senior Player
Senior Couple
Senior Citizen (65 years & Over)
Non Working Student
$
$
$
$
295.00
550.00
195.00
195.00
Junior membership (includes Friday night coaching)
“
“ 2 Juniors from same family
“
“ 3 Juniors from same family
Family – 2 Adults, +3 Juniors from same family
Additional Junior
$
$
$
$
$
195.00
340.00
475.00
725.00
140.00
Restricted Wednesday only Adult (no court key)
$ 195.00
Plus $25.00 if playing interclub
Plus $25.00 if playing interclub
Plus $25.00 if playing interclub
Plus $25.00 if playing interclub
Corporate membership, by negotiation.
Junior Code of Conduct: As a parent or guardian, I agree that any behaviour deemed
inappropriate by the Junior Convenor or Club Coach will result in suspension until the next Club
Committee meeting. This includes verbal and racket abuse, failure to abide to reasonable
instructions, poor sportsmanship, and being on club grounds without justifiable tennis reasons.
Signed:
Date: