Heversham with Milnthorpe t Membership Application

Heversham with Milnthorpe

Membership application
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Partner Member

First NameLast Name
Date of Birth

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Email*
example@example.com
Phone Number
Mobile
Adult £90,-Senior £80,-Daytime £60,-Winter £40Family £180,-Junior / Student £25,-Buddy £25,-Other
LTA membership (if known)
LTA membership Partner (if known)
By filling in this form you, and all individuals included on the form, qualify for free British Tennis Membership. This will enable you to take advantage of the many benefits offered to LTA Members, Should you already be a British Tennis Member please ensure you affiliate yourself to HMTC. Only with membership of the LTA will you be able to access the Club Spark website and book a court at Heversham online.

For more information visit: https://www.lta.org.uk/member/

Payment Method:

Cheque

Cheques Payable To ‘Heversham With Milnthorpe Tennis Club’

Online Banking:

A/c No. 10654560 Sort Code 30-54-66
Date*

DayMonthYear
Date
Any further information
Signature*
- This form should be used for all junior members i.e. any young person under the age of 18. Members
  aged 18 or over, including young people still in full time education, should submit details on the Adult
  membership form.
  A parent or guardian should sign all relevant sections.
- Name
  
  First NameLast Name
- Date of birth
  
  MonthDayYear
  Date
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name
  
  First NameLast Name
- Date of birth
  
  MonthDayYear
  Date
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name
  
  First NameLast Name
- Date of birth
  
  MonthDayYear
  Date
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name
  
  First NameLast Name
- Date of birth
  
  MonthDayYear
  Date
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- PARENT/GUARDIAN DECLARATION
  By signing and returning this form, I agree to the above named jumior member
  taking part in the general activities of the club. He/she/they have agreed
  to follow the junior rules of the club, and I agree to accept the code of conduct for parents.
  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.
  I give permission for the above named jumior member to be involved in any publicity (including photographs/TV footage)
  surrounding tennis events concerning Heversham with Milnthorpe Tennis Club. I understand that all images, films and sound recording produced are in accordance with the Recording and Publishing images section of the Safeguarding Children and Young People policy.
  As a result of the new General Data Protection Regulations which came into force in May 2018, we have produced a detailed
  Privacy Statement which defines what detail we hold about HMTC members and how we use it. Please consult this statement
  by accessing our web site at :
  https://www.dropbox.com/s/j1uqikhebahl7c4/GDPR.pdf?dl=0.
  Signing this form will be taken as an acceptance that you understand the detail within the statement and accept the basis of
  the contract it defines between HMTC and its members.
  The Club recognises that everyone who works with children, young people and adults at risk has a shared responsibility to
  ensure that they are safe from harm and have an enjoyable tennis experience. The Club's safeguarding policy can be
  viewed at :
  https://clubspark.lta.org.uk/HevershamWithMilnthorpeTC/CLUBINFO/SAFEGUARDING
  Our commitment is to eliminate discrimination by reason of gender, sexual orientation, race, nationality, ethnic origin, religion
  or belief, ability or disability and to encourage equal opportunities.
- Parent / Guardian
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Signature
- Any further information
- Should be Empty: