Eldon Grove Tennis Club

FamilyMembership or Coaching Attendeeform

We are very pleased to welcome you to Eldon Grove Tennis Club

To ensure that we have the correct contact details for you, please insert the information requested below.

We will also use this information to ensure that you are kept informed about club events.

Membership Type :-

Please highlight oneFull Family (Two Adults)

Full Family (One Adult)

Personal details – FIRST ADULT

Title (Mr. Mrs. Dr. etc.)

Name:

Address:

Postcode:

Home telephone number:

Mobile:

Work :

e-mail:

(used only to send club activity details)

Date of Birth (used for British Tennis Membership)

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Medical information

Please detail below any important medical information that our coaches/junior co-ordinator should be aware of (e.g. epilepsy, asthma, diabetes, etc.)

Emergency contact details

Please insert the information below to indicate the person(s) who should be contacted in case of an incident/accident:

Contact Name :

Emergency contact number:

I do / do not (delete as applicable) give permission for my child(ren) to be involved in any publicity (including photographs / TV footage / Club Web site) surrounding the promotion of the club.

By filling in this form, you give permission for you and your child(ren) to be signed up as a British Tennis Members (BTM) for free. This will enable you and your children to take advantage of the many benefits offered to BTM. For more information on BTM visit:

By giving your consent you agree that you will abide by the Terms and Conditions of British Tennis Membership (at and that the LTA and its directly affiliated bodies (see can use your personal data, including sensitive personal data that you provide, for the purposes of your involvement in British Tennis, and to send you by post, e-mail or SMS information related to those purposes (for more information see

Occasionally, the LTA may also use your details to:

send you information about LTA offers and offers from third parties that the LTA work with by post, email or SMS. Please tick this box if you do NOT want to hear about these offers.

pass your contact details on to carefully selected third parties so that they can send you, by post, details of their products and services. Please tick this box if you do NOT want the LTA to pass your details

Benefits of BTM Membership

  • Entry into your place to play’s BTM ballot for Wimbledon tickets
  • Discounts, exclusive ballots and priority booking periods for major events in the British Tennis calendar, including the AEGON Championships at Queen’s Club, AEGON International in Eastbourne, the AEGON Classic in Birmingham, Davis Cup ties and the ATP World Tour Finals at the O2 Arena.
  • Discounts and special offers on the likes of clothing and equipment, hotel accommodation and tennis holidays.
  • A personalised monthly e-newsletter with updates on British Tennis, prize draws and special offers.
  • An AEGON British Tennis Rating, which allows you to enter competitions.
  • Access to the TeamCard loyalty points scheme

Signature of applicant :-

Date :-

Please return this formto, The Membership Secretary:-

Jackie Crawford, Fentons, Elwick Road, HARTLEPOOL TS26 0BE

Tele :- 01429 – 891411 or 07504 – 999050

ORANY COMMITTEE MEMBER

Please Turn Over

Additional Family Members Details

Second AdultFull Name

Medical Notes

Date of Birth (used for British Tennis Membership)

First ChildName DOB

Medical Notes

Second ChildName DOB

Medical Notes

Third ChildName DOB

Medical Notes

Fourth ChildName DOB

Medical Notes

Fifth ChildName DOB

Medical Notes

Eldon Grove Tennis Club Page 1 of 4 Membership - Family Membership form.doc

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