ApplicationforMembership2015 NewmarketCommunity

TennisClub

(905)8536150

PleasefillinclearlyandcheckappropriateboxesforLessons,HouseLeagueandMiniTennisifrequired.Pleasenote:
Youmustattendtheregistrationinpersontosignupforlessons,HouseLeagueandMiniTennis.

Address:
PostalCode:
HomePhone:

City:
Email:
BusPhone:

Cell#:

Surname

EmergencyContact
#sforJuniors

FirstName

DateofBirthif
under18years
asofJanuary
1st.

Work#

Day/Mon/Year

Day/Mon/Year

Cell#

JuniorLessons
(inpersononly)
$45)

Junior
Day/Mon/Year

AdultLessons
(inpersononly)
$60)

Adult

MiniTennis(in
persononly)
$30)

Adult

HouseLeague
(inperson
only)
$25

TypeofMembership:Pleasecheckone.
SeniorMembership
FamilyMembership
55yearsofageasof
Twoadults&their
January1st.
childrenunder18years

ofageasofJanuary1st.

$225
$65

CoupleMembership
Twoadultmembers18
yearsofage(asof
January1st)orolder.

$200

AdultMembership
Adultmember18years
(asofJanuary1st.)or
older.

$115

JuniorMembership
JuniorMembersunder
18yearsofage(asof
January1st)Dateof
BirthRequired
$35

TotalHouseLeague
TotalLessons
Membership
AdultNonResidentofNewmarketSurcharge$10
*OptionalJuniorDevelopmentDonation$5 $10 Other
Total

$
$
$
$
$
$

*Allproceedswillgotothejuniordevelopmentprogram;however,aswearenotaregisteredcharity,anofficialtaxreceiptcannotbeissued.

Waiver:TheundersignedirrevocablywaivesanyandallclaimstheymayhaveagainsttheNewmarketCommunityTennisClub
(NCTC)anditsdirectors,officers,instructors,volunteers,membersandguestsandtheTownofNewmarketandreleaseallofthem
fromanyandallliabilityforanyloss,damage,expenseorpersonalinjury,includingdeath,thattheyortheirfamilymaysuffer,
whetherduetonegligenceorotherwise,inconnectionswithanyactivities,programsoreventsprovided,sponsoredororganized
byoronbehalfofNCTC.
TheundersignedalsoagreesthatpersonalinformationwillbepostedontheNCTCdatabaseandmembershiplistsforpurposesof
contactingyouandonbehalfofanyotherpersonsincludedunderthismembership.Theundersignedalsoagreestoabidebythe
NCTCrulesandregulations.Pleasechecktheboxtoconfirmwecanpostphoto(s)onourwebsite.

Signature_______________________________________ Date___________________________________________

MembershipOfficial.____________________________Payment:Cash_______ChequeNo._____________________