Grantham Tennis Club & Gym Membership Form

1 Grantham Tennis Club & Gym Membership form Tennis Tennis Tennis Only Tennis Only Membership Categories (Annual) (Monthly). & Gym & Gym (Annual) (Monthly). Adult (19+ Yrs) Anytime Tennis BLUE. Anytime Tennis and Gym GOLD Anytime Gym and Weekend Tennis BRONZE Mini Junior Age 4yrs to 10yrs N/A. Junior Age 11yrs to 18yrs (Gym 16yrs-18yrs)** Student In full-time education Senior Age 65yrs+ Super Senior Age 80yrs+ FREE Couple Living together at the same address Family A 2 Parents & 2 Children * (gym 16yrs+) Family B Parent & Child (aged 4-10) * N/A. Family C Parent & Child (aged 11-18) * (gym 16yrs+) * Each additional age 4-10 * Each additional age 11-18 (gym 16yrs+) Social Intellectual Including named carer playing with member. 50%. Disability Discount to whichever Membership applies Wheelchair Discount to whichever Membership applies 50%.

2 Unemployed Discount to whichever Membership applies 40%. A administration fee per Membership category is payable on all new memberships with the exception of Student, Junior and Mini Junior memberships. Please note prices will be subject to review on 1 March 2019. Membership can be paid by Monthly Direct Debit. The first part month payment is to be taken at the time of joining. Memberships paid monthly are subject to an initial term of 3 months and after that can be cancelled by giving a minimum of one month's written/email notice. There are various options for families. Please take time to work out which is the most beneficial for you. Anyone outside the above categories including: temporary Grantham residents etc. should contact the Membership team to discuss alternative Membership terms.

3 Anyone wishing to receive the unemployment discount will need to be in receipt of means tested or related benefit and will need to contact the Membership team to discuss and provide written evidence If you have a serious medical condition and/or you have not played Tennis or visited the gym before (or not for a number or years), GTC recommend that you receive medical advice from your GP before joining. Parents/Guardians of Mini Juniors can play free of charge with their mini junior and do not have to join the Club. Members can bring guests to use outdoor courts guests can play all day with members subject to court availability. Adults per visit, Juniors per visit. Non-members can use indoor and outdoor courts without members. Outdoor courts Adults 7 per hour, Juniors 5 per hour.

4 Indoor courts Adult and Juniors 30 per hour per court. Subject to court availability. For members, additional payment for hire of indoor courts including lights Pre booked rate 14 per hour, walk on rate 10 per hour not included in cost of Membership . There is an additional charge for outdoor floodlights of 6 per hour per court. For persons with intellectual disabilities, please contact the Membership team to discuss. Named carers of members with intellectual disabilities can play free of charge with this member and do not have to join the Club. ** Juniors (members and non members) aged 12-15 whose parent/guardian is a member of the gym may use the gym at any time on a Saturday at a cost of 5 per session GTC Information and GTC Club Rules / Code of Conduct are available on our website at Membership form Please complete all sides of this form clearly (especially your e-mail address please), then return it to the club.

5 Payment by cash/cheque (made payable to Grantham Tennis Club) /credit or debit card (no additional charge). Please also complete the additional details form . This additional information is to ensure the safety and well-being of our members. Membership can be made by Monthly Direct Debit. Members First Name: Surname: Address: Town: Postcode: Email (please write clearly): Mobile Telephone: Home Telephone: Date of Birth: British Tennis Membership No. (if known): Gender: School (if applicable). Parent / Guardian Details: Name: Relationship to Junior: (As applicable). Tel / Mob: Tel / Home: Email (please write clearly): For family memberships or additional family members living at the same address: Name of Additional Adult: Date of Birth: Name of Additional Adult: Date of Birth: Name of Child: Date of Birth: School: Name of Child: Date of Birth: School: Name of Child: Date of Birth: School: Membership Fee Calculation Tennis Only Tennis & Gym No.

6 Of Memberships Total Adult: ( Tennis & Gym specify colour) . Mini Junior: . Junior: . Student: . Senior: . Super Senior: . Couple: . Family A: . Family B: . Family C: . * Additional Child (Ages 4-10) . * Additional Child (Ages 11-18) . Wheelchair (50% Discount) Please Tick if Applicable Unemployed (40% Discount): Please Tick if Applicable Intellectual Disability (50% Discount) Please Tick if Applicable Intellectual Disability Carer Please Tick if Applicable Direct Debit Required Please Tick if Applicable Admin Fee per Membership category . (not student, junior or mini junior memberships). Total to Pay: . Additional Details Medical Conditions (All Members). Please use the box to describe any medical conditions and/or any particular needs that we should know about.

7 ( Inhaler use, hearing difficulties, allergies, dietary requirements.). Photography & Filming Consent (All Members). I give permission for myself / my child/ children (named above) to be involved in any publicity (including photo- YES NO. graphs and video footage) surrounding Grantham Tennis Club and Gym (please select): I give permission for my child's / children's coach to video my child / children playing Tennis during their lesson for YES NO. training purposes only (please select): Coaching (All Members). Please tick if you would like us to contact you about coaching YES. Whilst not compulsory that the following section is completed the following statement from Sport England explains why we would like you to do so. Sport can and does play a major role in promoting inclusion of all groups in society.

8 However, inequalities have traditionally existed within sport, particularly in relation to gender, race and disability. By monitoring the profile of young people in sports club, we can identify any issues relating to under-representation of different groups and can together develop strategies to ensure all young people have an opportunity in the future development and progress in sport . How would you describe your ethnic group / origin? Do you consider yourself to have a disability? YES NO. If yes, what is the nature of your disability? Are you deaf / Hard of hearing? YES NO. BT Membership is the LTA's scheme for individual participants in Tennis . As GTC is affiliated to the LTA, by joining the Club, you also become a BT Member at no additional cost. The benefits of BT Membership include entry into the club ballot for Wimbledon tickets; a player rating; a TeamCard (a way of collecting points when you shop which you can redeem against Tennis equipment) and discounts on Tennis tickets ( , Davis Cup).

9 To name a few. Data Protection Statement By signing this form , you agree that the Club and the LTA, and its national, county and island associations, can use your personal data, including sensitive personal data, for Membership purposes and to send you by post or email or SMS information related to those purposes. For further details please see To help the LTA raise funds for Tennis , the LTA may also wish to do the following (please tick the appropriate the box if you do not want us to): Send you information about LTA offers & offers from carefully selected third parties by post/email/SMS. Pass your contact details to carefully selected third parties so that they can send you, by post, details of their products and services Terms and conditions Terms and Conditions of BT Membership can be accessed at: Termsandconditions.

10 Please tick if you do not want to become a member of British Tennis Membership Additional Details Please could you answer the following questions: Would you like to play in a team? (we have teams for all abilities). Adult League Matches YES NO. To help us with publicity, please tell us where you heard about Grantham Tennis Club: Website Word of Mouth Existing Family Member Friend Other Club School LTA Coach Flyer Journal Previous Member Re-Joining Other - Please We are a thriving club because of our energetic volunteers but we always welcome more. Yes we need your help! Can our volunteer coordinator get in touch? YES NO. Members Declaration or Parents/Guardian Declaration (for U18's). By signing and returning this form below I/we agree to:- Take part in the general activities of the club and agree to the Terms and Conditions of Membership .