Membership Application Form           

Welcome to Upton Victory Hall Lawn Tennis Club

In order to provide a safe club for all our members, and to keep you up to date with club activities, we would like you to tell us some information about yourself.  We use electronic communication via email and text to manage the club AND to select teams at Senior, Junior and Friendly levels so if available please provide such details.

It is a condition of membership that you sign up to British Tennis from the LTA (BTM).  The club will email you the information required to complete the application and if you fail to do so then the club will sign up to BTM on your behalf and provide your information to the LTA.

Please complete this form and get a parent or guardian to sign it if you are less than 16 years old.  If membership is required for multiple parties or as part of a family application then please complete a separate form for each individual.

ADULT CONTACTS ONLY FOR APPLICATIONS FOR JUNIOR/MINI TENNIS AND FAMILY MEMBERSHIP

Second Adult Contact

Please use the box below to describe any special care needs, dietary requirements, allergies or medical conditions:

Member’s signature:

Signed:……………………………………………………………  Date………………………...

Parent/guardian declaration (essential if applicant is under 16 years of age)

By signing and returning this form, I agree to ………………………………………… (child’s name) taking part in the general activities of the club. He/she has agreed to follow the junior rules of the club, and I agree to accept the code of conduct for parents.

To my knowledge, he/she has no special care needs, dietary requirements, allergies or medical conditions that could affect his/her safety at the club, other than those declared on this form. I understand that in the event of any injury, illness or other medical need, all reasonable steps will be taken to contact me, and to deal with the situation appropriately.

I understand that I must inform the club of any changes to the information provided on this form.

Signed:……………………………………………………………Date:…………………………

Name:……………………………………………………………..

A DEPOSIT OF £20 IS REQUIRED WITH EACH ADULT APPLICATION and £10 for Junior and £5.00 for Mini Tennis  APPLICATIONS, WHICH WILL COUNT AS PART OF YOUR FIRST YEARS SUBSCRIPITION FEES WHEN YOUR MEMBERSHIP IS ACCEPTED.

Please make Cheques payable to:  Upton Victory Hall Lawn Tennis Club

On completion please return this form to Sheila Ryde via email: sheila.ryde@gmail.com and bank details will be provided for deposit for a BACS transfer.

Sheila will advise you of your deposit/fee.