Membership Application Form Buxton Tennis Club

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Name

Mobile Phone number (if you don't have a mobile then please give your landline no, but we will need a mobile for some of the new communication ideas)

Email address

If applying for Junior, Family or young person concession membership - please add ALL names, and for those under 23 as at 01.05.2024, also dates of birth. The 2 adults in a family membership will both need to fill out one of these forms. There will be an option to send another one once you have sent off your first one. If applying for COUNTRY membership please supply your address

Do you have any medical conditions we should know about?

Yes

Clear selection

Please give details if you have answered Yes to medical question

Emergency Contact - Name and telephone number

Occasionally we may post photos on social media. For ease we will assume you consent to this. If you would prefer to opt out of this however, then check this box.

Opt Out

If you are happy for your telephone number and email address to be passed to other Tennis Club members then check this box. You will need to do this if you'd like to be part of the WhatsApp group

Yes

I am happy for the club to use my email address for distribution of newsletters and other announcements

Yes

I would like to be added to the Buxton Tennis Club WhatsApp Community. I understand that I may leave the Community or any groups in it at any time and that by participating in group chats my number may be visible to other members of the Community.

Yes

Would you like to be considered for selection for any league matches?

Yes

Maybe

Clear selection

Category of membership applied for:

Check all that apply

Adult membership @ £115 pa (£105 if paid by 30th April)

New Adult member @ £50 pa (If you have not been a member before)

Family @ £230 (2 adults and any no of children aged under 18) (£210 if paid by 30th April)

New Family @ £100 (If you have not been a member before)

Concession @ £50 (Young person under 23 as at 01.05.24/ full-time student/unemployed) (£45 if paid by 30.04.24)

Junior - Primary school age @ £16 (Parents of these who want to play just with their child can also join for £16 each)

Junior - Secondary school age and in full time education @ £27

Country membership @ £65 (For members who live at least 10 miles from Buxton) (£60 if paid by 30.04.24)

Payment should be made to Buxton Tennis Club:

Sort Code 16-15-17

Account no 10134934

Please state amount paid and date of payment here

Submit

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