Eldon Grove Tennis Club

Junior membership or Coaching Attendee form

Membership Type :-

Please Circle one MINI JUNIOR 10 years old or below at start of season 1st April

JUNIOR 11years old but under 18 at start of season 1st April

Welcome to Eldon Grove Tennis Club

In order to provide a safe club for all our junior members, and to keep you up to date with club activities, we would like you to tell us some information about yourself.

Please complete this form and get a parent or guardian to sign it.

Please return this form to, The Membership Secretary:-

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

Tele :- 01429 – 891411 or 07504 - 999050

OR ANY COMMITTEE MEMBER

Applicants Details
Name
(please print) / Required Field / Date of birth: / Required Field
Gender / Male / Female Required Field
Address
Postcode / Required Field
Contact numbers: / One of these is a Required Field
Home
Mobile
Email address / Required Field

Please provide details of a parent / guardian so that we can contact them in case of an emergency:

Parent / Guardian Details
Name
(please print) / Required Field
Relationship to child / Required Field
Contact numbers:
(only if different to above) / Mobile
Home
Work
Address
(only if different to above)
Postcode

Please turn over

Please use the box below to describe any special care needs, dietary requirements, allergies or medical conditions:

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

Parent / Guardian declaration

By signing and returning this form, I agree to my child, named above, taking part in the general activities of the club. He/she has agreed to follow the junior rules of the club, and I agree to accept the code of conduct for parents.

To my knowledge, he/she has no special care needs, dietary requirements, allergies or medical conditions that could affect his/her safety at the club, other than those declared on this form. 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.

By filling in this form, I do / do not (delete as applicable) give permission for my child being signed up as a British Tennis Member (BTM) for free. This will enable your child to take advantage of the many benefits offered to BTM. For more information on BTM visit: www.LTA.org.uk/membership By giving your consent you agree that you/your child will abide by the Terms and Conditions of British Tennis Membership (at www.LTA.org.uk/BTMTC) and that the LTA and its directly affiliated bodies (see www.LTA.org.uk/affiliatedbodies) can use the personal data of you/your child, including sensitive personal data that you provide, for the purposes of your involvement in British Tennis, and to send you/your child by post, e-mail or SMS information related to those purposes (for more information see www.LTA.org.uk/privacy).

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 (9 years old and above)

·  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

Signed:……………………………………………………………Date:…………………………

Print Name :……………………………………………………………..

LTA Child Protection

T: 0208 487 7008/7116

M (24 hour): 07971 141 024

E:

www.LTA.org.uk/childprotection

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