MEMBERSHIP APPLICATION 2009/2010 NGATARINGA TENNIS CLUB Inc. P.O.Box 32-054, Devonport – web: www.ntc.net.nz This form can be completed on line and emailed direct to firstname.lastname@example.org PERSONS INCLUDED IN MEMBERSHIP PRINCIPAL MEMBER Interclub? Surname: First name: Middle Initial DOB: Postal Address: Phone: Business: Mob: Email: In Joining NTC I/We agree to receive the club’s newsletters and events by mail or email NAME: DOB: Phone : Interclub NAME: DOB: Phone: Interclub NAME: DOB: Phone: Interclub NAME: DOB: Phone: Interclub MEMBERSHIP Number of members in family 1 or 2 3 4 5+ FEES *discount only available for payments per person per person per person per person received before 30 September Senior $326/296 $252 $222 $193 Junior Under 18 at 31 December 2009 $271/241 $234 $229 $224 Veteran Over 65 at 31 December 2009 $256/221 $216 $211 $193 PAYMENT CALCULATOR: Add fees from table above (e.g. column 4: family household with 2 x seniors and 2x juniors =$902 $ Total of fees due from table above $ Interclub: add $65 per player - $75 if playing two interclub teams (does not apply to Midweek ladies) $ Junior interclub: add $26 per player – 15-17 yrs interclub teams $30 per player $ Key charge: one off payment, seniors only, add $20 (keys are swapped annually at no extra cost) $ Joining fee, add $50 (new senior members only - one joining fee per family) $ TOTAL Payment Method Cash Cheque Direct Cheques : please make payable to- Ngataringa Tennis Club Receipt required? Direct Credits to: 12-3015-0493497-00 Enter Surname & First name in Ref fields Juniors – completed forms should be returned on registration day to ensure your child’s place on coaching programme. Late returns may result in your child not being offered their first choice, and may have to be on a wait list. All NTC subs include $52 TN & TNZ levy Junior sub includes Coaching fee $162 = 18 weeks coaching in terms 4 & 1 + $52 TNH levy + $27 NTC sub JUNIOR INFORMATION SHEET Parent Information Parent/guardian 1 Parent/guardian 2 Address if different from child Address if different from child Phone wk: Phone wk Phone home:: Phone home:: Mobile: Mobile: Email: Email: Are there any health matters (e.g. allergies, asthma) that NTC should be aware of? (name of junior& details) YOUR HELP: NTC is a volunteer tennis club – it can’t run without your help. Please cross where you can assist: Junior Committee Yes No Interclub team Manager/co-ordinator Yes No Fundraising/ Events Yes No Fun tournaments Yes No Applicants/Parent or Guardian Statement: I/we hereby apply for membership to NTC and agree to pay annual subscription and abide by the constitution and By-laws set by the Club. Copies available on request. Signed………………………………………… Dated…………………………….2009 Juniors – completed forms should be returned on registration day to ensure your child’s place on coaching programme. Late returns may result in your child not being offered their first choice, and may have to be on a wait list. Direct Credits to: 12-3015-0493497-00 Enter Surname & First name in Ref fields Please make cheques payable to Ngataringa Tennis Club (NTC) and forward to: THE TREASURER Treasurer Tel: : 445 2235 NGATARINGA TENNIS CLUB Secretary Tel: 445 6002 PO BOX 32-054 Club Captain Tel: 418 1819 – 488 7600 STANLEY BAY PARK Coaching Tel: : 0276 305 960 DEVONPORT Junior Convenor: : 445 3448 Devonport Tennis Academy email@example.com - 0276 305 960 Cancellation Policy. 100% money back for any cancellation received by coaches at least 10 days prior to the scheduled start of a term. If cancellations are made after term commencement, appropriate refunds can only be made after coaches have filled the space vacated.
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