Mashantum Tennis Club Membership Registration Form

Mashantum Tennis Club - Membership Form

2022 Season - May 1 through November 1
Primary Name *

First Name Last Name
Spouse/Partner

First Name Last Name
Children's Names:
Type each Child's name separated by commas
Primary E-mail *
example@example.com
Secondary E-mail (only if you want emails sent here as well)
example@example.com
Primary Cell Number: *

Area Code Phone Number
Cell Number (Spouse/Partner):

Area Code Phone Number
Home Phone Number:

Area Code Phone Number
Home (Mailing) Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Memberships (make your choice from checkbox list below - One (1) Membership per form)

*Early Registration Discount - Forms received prior to May 1st for Full Season Annual Memberships only

*New Member Discount - Regsiter at any point in season and receive above "Early Regsitration Discount" - applies to New members only (not past or current members)

Types of Memberships (Please Select Only One Membership Type per Form)
Individual Membership

Annual (Full Season - 5/1 to 11/1) -- $495 Early Reg Discount (or New Member) - Annual -- $460 Month (any 4 weeks - enter dates below) -- $275 Two Weeks (enter dates below) -- $160 Week (enter date below) -- $80 JUNIOR (17 & under Full Season) $200 JUNIOR (Early Reg Discount) $180
Couple Membership

Annual (Full Season - 5/1 to 11/1) -- $675 Early Reg Discount (or New Member) - Annual -- $620 Month (any 4 weeks - enter dates below) - $380 Two Weeks (enter dates below) -- $240 Week (enter date below) -- $120
Family Membership (Receives 10% discount on Junior Ladder Clinic Fees)

Annual (Full Season - 5/1 to 11/1) -- $795 Early Reg Discount (or New Member) - Annual -- $725 Month (any 4 weeks - enter dates below) - $500 Two Weeks (enter dates below) -- $300 Week (enter date below) -- $150
Associate Membership (Child of current member - 27 years old & over - not living in member's year-round household - approx 50% of Regular Rate) For Month or Week(s). Enter dates below.

Associate Individual Annual - $250 Associate Individual Month - $140 Associate Individual Two Week - $80 Associate Individual Week - $40 Associate Couple Annual - $340 Associate Couple Month - $190 Associate Couple Two Week - $120 Associate Couple Week - $60 Associate Family Annual - $400 Associate Family Month - $250 Associate Family Two Week - $150 Associate Family Week - $75
Octogenarian Membership (80+ Years Old)

Octogenarian (Full Season) -- $125
Social Membership (Full Season - No Tennis)

Social (Full Season - No Tennis) -- $100
Enter Month or Week Start Date (No Entry is for Full Season)

Month Day Year
Date
Enter Month or Week End Date (No Entry is for Full Season)

Month Day Year
Date
TOTAL DUE: *
Payable to: Mashantum Tennis Club (Sorry, No Credit Cards)
WAIVER & RELEASE *

I have read, understood, and accepted the Terms of the Waiver & Release set forth below and required for membership.
WAIVER AND RELEASE - You, and your family (as applicable), agree that you may be giving up legal rights and remedies available to you and/or your family by agreeing to the terms herein. Contact an attorney if you have questions. For value received, I/we agree, on behalf of myself/ourselves and my child/children named herein, and my/our heirs, successors, guests and assigns, that I/we assume all risks and waive any liability of any nature whatsoever against, and agree to indemnify and hold harmless, the MASHANTUM TENNIS CLUB, INC., its officers, directors, members, employees and agents (“CLUB”) with respect to any and all actions, claims or demands that may be made or brought on my/our behalf against said CLUB, its officers,directors, members, employees and agents in connection with my/our and/or my/our child’s/children’s participation at the CLUB while in the lesson program, playing or watching tennis, or any related activities thereto, or utilizing any of the land (including coming to or leaving from the CLUB property), buildings, equipment, furniture, fixtures and facilities of said CLUB, for personal injuries, property loss or damage or any other claim. This Waiver & Release shall also extend to THE DENNIS CONSERVATION TRUST AND ITS TRUSTEES. Further, I/we agree to release and allow the CLUB to use any photographs and/or videos take of me/us, and/or of my/our children, while at the CLUB, for CLUB advertising purposes only, either online or in print form. Furthermore, I authorize my above listed email to be added to the Mashantum Tennis Club Email Contact List for Club emails and distributed to Club members only, via the membership list on our Member's Only page of our website. I/we have fully read and understand the Waiver and Release & its terms and conditions, and freely & voluntarily agree that it is binding upon me/us, my/our children and our heirs, successors and assigns.
Date *

Month Day Year
Date
Please Sign (if on computer, hold down your mouse button and sign with the mouse or finger if touchscreen) *

Clear
Where did you hear about us?

Friend Google FaceBook Ad or Flyer
You may submit your application Online (sorry, No Credit Cards) and then separately mail your check along with your email confirmation -- OR -- you may Print the form and mail it in with your check to:

Mashantum Tennis Club, P.O. Box 125, Dennis, MA 02638

Questions: playtennis@mashantumtennis.com or 508-385-7043 (in-season). -- Also, please be sure to visit our website: www.mashantumtennis.com Thank you!
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Mashantum Tennis Club - Membership Form

Memberships (make your choice from checkbox list below - One (1) Membership per form)