APPLICATION FOR MEMBERSHIP

SENIOR/STUDENT/PAVILION 2018

Please return completed form and payment to:

Honorary Secretary, Brookfield LTC, Palmerston Park, Dublin 6: 01-4974168

PERSONAL DETAILS (Block Capitals)

Name______

Address______

______

Phone(Home) ______(Work) ______(Mobile) ______

Email______

TENNIS HISTORY

DLTC Summer League ExperienceYes / No (Class ____)Most recent year ______TSB Grade/ITN______

Other League Experience Yes/No League ______Class______Most recent year ______

Participation in Open Tournaments ______

Have you previously applied for Membership of Brookfield?Yes / NoYear ______

Are you a member of a Tennis Club? Yes/No Club______

Have you ever been a member of another Tennis Club Yes/No Club ______Years ______

Do you primarily want to playCompetitive Tennis / Social Tennis / Both

Would you be prepared to represent Brookfield?Yes / No Are you interested in receiving coaching? Yes / No

MEMBERSHIP CATEGORY APPLIED FOR

A1Tennis MemberSubscription: €375

A2Tennis Member (Fulltime Student 18 years and over on 01/01/18)Subscription: €190

CPavilion MemberSubscription: €65

FINANCIAL DETAILS

I enclose a Cheque/Bank Draft (made payable to Brookfield LTC) for €______as my first Subscription and Entrance Fee which I understand will be returned in the event of non-election. If elected, I agree to comply with the Rules and Regulations of the Club.

Signature______Date______

PROPOSER & SECONDER

I, the undersigned, confirm that the above Applicant is personally known to me and I am prepared to recommend him/her for Membership of Brookfield LTC. I undertake to introduce him/her to two members of the Committee before election, if required to do so, and if elected to introduce him/her to the Club.

Proposer Name ______Signature______

Seconder Name ______Signature______

NOTES

  1. It is a strict requirement of Membership that a Cheque/Bank Draft for the appropriate Subscriptionbe enclosed with the Application. The Committee will not consider an Application without this.
  2. Proposer and Seconder must be Senior Tennis Members or Pavilion Members who have been Senior Tennis Members. They cannot be members of the same household.
  3. Where more than one Application is received from the same family, Applicants are requested to state order of preference for election.
  4. Successful Applicants are required to familiarise themselves with the Rules and Regulations of the Club. A copy will be forwarded with confirmation of their election. In particular, Applicants are reminded that only recognised tennis clothing may be worn on court.
  5. For 3 or 4 playing Members (A1,A2,B1,B2) in one family, there is a 15% discount on total subscription.

For 5 or more playing Members (A1,A2,B1,B2) in one family, there is a 20% discount on total subscription.

The discount does not apply to Pavilion Subscription or First Annual Subscription of any member.