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Name  

( 

British Tennis membership number  

Date Of Birth

Address including postcode  

Home telephone: 

Mobile Telephone: 

e-mail

Medical Conditions*

I wish to become a member of Hampton-In-Arden Sports Club Limited and hereby agree, if accepted, to abide by the rules of the Club . I recognise that there is a potential personal liability of £5 should the club be wound up.

I give permission for my membership details to be held on computer and for those contact details to be available on the club web site to other members with an authorised password. I understand that these details should not be passed on outside the club. If I have provided my email address above, I agree that the club may send me notices for Annual and Extraordinary General Meetings by email

Signature of Applicant
(or parent/guardian of junior applicant)

Date

Please complete and sign this form and return it WITH YOUR CHEQUE made out to "Hampton-in-Arden Sports Club" to The Secretary (Chris Barnes), 68 Meriden Road, Hampton-In-Arden, Solihull, B92 0BT

For more information about Hampton Tennis Club please visit our web site: www.hamptontennis.org.uk

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