Membership Form

Adult Member*

* denotes required information

First Last

Date of birth*

* denotes required information

Adult Member

First Last

Date of birth*

Junior Name 1

First Last

Date of birth

Junior Name 2

First Last

Date of Birth

Junior Member 3

First Last

Date of birth

Address*

* denotes required information

Street Address City Province Postal Code

Email*

Please input your email * denotes required information

Phone

Your Interests

Please select all that apply

ADULT & JUNIOR CLINICS/LESSONS
CLUB TOURNAMENTS
SOCIAL ROUND ROBINS
MONDAY NIGHT SOCIAL MIXED OPEN

Please select all that apply

MENS OPEN 4.0+ (M/W/F MORNINGS)
Round MIXED OPEN 3.5+ (W/F MORNINGS)
JUNIOR LEAGUE
JUNIOR INTERCOUNTY MIXED U14, U18

Please select all that apply

MIXED MAJORS TEAM EVENING
MIXED A-TEAM EVENING
MIXED B-TEAM EVENING
MIXED C-TEAM EVENING
LADIES B DAYTIME
MIXED 55+ DAYTIME

Membership Fees

Adult Membership

19+ on 01/01/2018

Price: $ 200.00 CAD Quantity:

Senior Membership

65+ on 01/01/2018

Price: $ 140.00 CAD Quantity:

Student Membership

19–22 on 01/01/2018

Price: $ 100.00 CAD Quantity:

Junior Membership

18 or under on 01/01/2018

Price: $ 60.00 CAD Quantity:

Family Membership

**1 or 2 Adult Parents + 1 or/more JR at 1⁄2 price ALL at same address

Members Referral Name:

Coupon

Other

Ball Machine

Price: $ 70.00 CAD Quantity:

Access Key

Price: $ 15.00 CAD Quantity:

Total

$ 0.00 CAD

Payment

You have to sgree to the waiver in order to complete payment

WAIVER OF RISK & LIABILITY:*

WAIVER OF RISK & LIABILITY: I/we, for myself, my children and those I’m legally responsible for do hereby release and waive all rights, claims, action and liability as against Pine Point Tennis Club (PPTC), its executives, officers, directors, staff, contracted tennis pro and their staff, including, but not limited to, all losses, damages, expenses, costs and fees resulting in any way, directly or indirectly, from my/our presence or participation in any PPTC related activities. I/we, hereby agree to abide by all PPTC policies, rules and regulations, as well direction of Executive members, tennis Pro’s and staff. Any violations or conduct prejudicial to PPTC or its members may result in member discipline, suspension, removal, including cancellations of membership, all without liability and reimbursement of fees. I/we, do hereby acknowledge and agree that I/we have carefully read, understood and will abide by this Waiver and Release.

I agree

Credit Card*

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

Downloadable Membership Form

Membership Application

Your Interests

Membership Fees

Other

Payment