Join Duffield LTC

DUFFIELD Lawn Tennis Club 2010 Season Membership Form

23, Town Street, Duffield, Derbyshire, DE56 4EH 01332 841732 www.duffieldtennisclub.co.uk

· The 12 month “rolling membership” renewal letter will be sent out during the month before renewal is due.

· For amounts over £100, payment may be made by 4 instalments with post-dated cheques or by setting up a regular bank transfer. 5% may be deducted for family memberships (minimum 1 adult and 1 child). This is not available in addition to the already discounted joint membership.

· Adult members are entitled to use the clubhouse, bar, lounge, pool table, changing rooms, sauna (adults only), gym (over 16, induction needed, £1 per visit).

· Juniors under 12 to be supervised within the clubhouse.

CLASS of MEMBERSHIP

12 Month Subscription

JOINING Fee

(New members)

NOTES

a)        ADULT full member

£195

£30

12 month tennis, full member + gym

b)       ADULT Joint member

£280

£30

Full membership of Squash & Tennis, + gym

c)        ADULT off - peak member

£140

£30

Summer to 6.30pm, winter anytime + gym

d)       ADULT weekend afternoons

£95

£30

Weekend afternoons + gym

e)        STUDENT

£100

£15

Student.

f)        JUNIOR 15-18 (at April 1, 2010)

£80

£15

Junior 15-18.

g)       JUNIOR 11-14 (at April 1, 2010)

£50

£15

Junior 11-14.

h)       JUNIOR 10 & Under April 1 2010

£25

-

Junior 10 & Under.

i)         SOCIAL non-playing

£30

-

Bar & viewing only

Please send the completed form to:

Emma Scullion, Membership Secretary, Duffield Tennis Club, 23 Town Street, Duffield, Derbyshire, DE56 4EH, or place in the black letter-box at the bottom of the clubhouse stairs. Cheques made payable to Duffield LTC. Treasurer, Hudson Oakenfull 07801 593694

Payment may also be made by bank transfer to sort code 40-19-15 a/c 62426501. Please put your name as the reference.

Email addresses will not be passed to a 3^rd party; you will receive club newsletters every month and may receive subscription reminders.

BTM. It will be of great benefit to the club if you become a British Tennis Member. Please go onto the LTA website, press the blue tab “Membership” and follow instructions, It does not take long and it is free, the club receives more Wimbledon tickets, members get ticket offers for other events, discounted sports equipment etc. This applies to all members, both Junior and Adult.

ADULT 1 ADULT 2

Name	Name
Address
Contact nos.	Contact nos.
Email	Email
Class of membership Price £	Class of membership Price £
BTM Number	BTM number
Signature Date	Signature Date

JUNIOR 1 JUNIOR 2

Name Gender (m/f)	Name Gender (m/f)
Address
Contact numbers	Contact numbers
Email	Email
Class of membership Price £	Class of membership Price £
BTM number	BTM number
Medical, allergies etc (write NONE if none)	Medical, allergies etc (write NONE if none)
Jnr. Signature Date	Jnr. Signature Date

TOTAL price paid £ …………………………………………..

PARENTAL CONSENT to be signed by a parent/guardian of a junior member. I agree to (Names) ………………………………………………….…………. taking part in the general activities of the club, and I agree to accept the code of conduct for parents. To my knowledge the information above is correct, and in the event of any injury, I understand that all reasonable steps will be taken to contact me, and to deal with the situation appropriately. I agree that it is a parental responsibility for delivering and collecting their children from the club.

Parent / Guardian’s name …………………………………………..……….….. Signature …………………….…….……………………. Date ……………………..