New Family Application Form

Family membership is for 2 adults and all children under 25 years of age.

Payment can be made by Cash, Debit Card, Credit Card or by Cheque made payable to HLTC.

Family Name *

House Name or Number and Street Name *

Town/City *

Post Code *

Emergency Contact Name *

Emergency Contact Number *

Lead Adult's Name and Title (Mr, Mrs, Ms etc) *

Lead Adult's Date of Birth *

Home Phone Number

Lead Adult's Mobile Number

Lead Adult's Email Address *

Second Adult's Name and Title (Mr, Mrs, Ms etc) *

Second Adult's Date of Birth *

Second Adult's Mobile Number

Second Adult's Email Address

Please use the box below to list your children's names and date of birth.

If any of your family have any medical conditions, please list them below along with the name of each family member.

Payment Choice£250 up front with £20 added to an advantage card£22 monthly with £0 added to an advantage card

Total

£0.00

Payment Card Details

This page is insecure. Credit Card field should be used for testing purposes only.

How do you prefer to be contacted? *EmailPhone

I give my permission for each of the following:

• My children can be involved in photography/filming
• My children can travel by any form of public transport in a motor vehicle
• My children can attend and participate in normal club activities including travel to away matches
• I authorise the Person in Charge to administer medication as prescribed by a Doctor to my Child(ren) as necessary.
• In the event of illness or accident I authorise the Person In Charge to sign on my behalf any written consent for treatment or medication required if the delay required to obtain my signature is considered inadvisable

If you are not paying now using this form, please make payment to: Hamilton Lawn Tennis Club. Sort code: 30-95-52. Account: 01037464. Please make reference to 'Family Application' in your payment.

Name

Submit

Please note the HLTC complies with the General Data Protection Regulations. The HLTC policy can be viewed in the footer of our website.