Application Form 2011

 (1st March 2011 – 28th Feb 2012)

 

Date:

 

Name:

 

Address:

 

Postcode:

 

Telephone:

 

Mobile :

 

Email:

 

Membership type required:

 

 

Membership Rates for 2010/11: Family (2 adults & up to 4 children under 18yrs) £115, Adult £78, Junior/Student £34, Social £30.  You may deduct £5 from your fee if you pay before 31st March 2010.  Please make cheques payable to Ilmington Tennis & Multi-sports Club.  

 

Parents - please note that the Club does not provide supervision of youngsters and you must

therefore make your own arrangements in organising an appropriate level of adult supervision.

 

Please list all individual names and tick the sports you plan to play in 2010/11

We need these details in order to keep accurate records and differentiate between tennis and other sports for LTA purposes.

 

First Name

(& Surname if different from above)

(A or J) Adult/
Junior

Tennis

 

Football

Floorball

British Tennis membership no. if applicable

 

Coaching

Men’s Team matches

Ladies Team matches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                        Please tick if you are interested in:  

Social Events   Wimbledon Ticket Draw Mixed doubles league Please note you must be signed up to British Tennis Membership to be eligible for the club Wimbledon ticket draw. Go to http://www.lta.org.uk/britishtennismembership or contact Clare Sharratt for a form  

I agree to abide by the Club Rules __________________________________ (signature)

Membership No: ___________ (For IMSC Use)

Return to: Clare Sharratt Barn Cottage Valenders Lane Ilmington CV36 4LB

01608 682193 clare@sharratt.org.uk

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