OAKLEIGH PARK LAWN TENNIS & SQUASH CLUB

100 OAKLEIGH ROAD NORTH, WHETSTONE N20 9EZ

ANSWERPHONE: (020) 8445 7221

www.oakleighparkclub.co.uk

ADULT MEMBERSHIP APPLICATION FORM

FULL NAME:_______________________________________________________________________________

ADDRESS:_________________________________________________________________________________

Telephone No: _________________Mobile:_____________________Email:_______________________________

Date of Birth __________________________________________

Previous playing experience and Clubs _______________________________________________________

Where did you hear about Oakleigh Park?____________________________________________________________

Occupation_________________________________________________________________________________

SUBSCRIPTIONS as at 1^st MARCH 2009

Type of Membership	Section	Details Age as at 1^st March 2009	Fee	Special offer	Tick category
Adult*	Tennis	25 yrs and over	£341	Add Gym for £60
Off Peak	Tennis	Up to 5.00pm Monday to Friday	£189	Add Gym for £60
Midweek & Eve*	Tennis	Anytime Monday to Friday	£285	Add Gym for £60
Midweek & Eve*	Tennis/Squash	Tennis as above/ squash anytime	£327	Add Gym for £60
Young Adult	Tennis	18-25yrs (not in full time education)	£189	Add Gym for £60
Adult*	Tennis/Squash	25 years and over	£383	Add Gym for £60
Off Peak*	Tennis/Squash	Tennis as above/squash anytime	£309	Add Gym for £60
Adult *	Squash	25 years and over	£257	Add Gym for £60
Adult	Gym	16 years and over	£257
Young Adult	Squash	18-25yrs (not in full time education)	£152	Add Gym for £60
Young Adult	Tennis/Squash	18-25yrs (not in full time education)	£226	Add Gym for £60

All subscriptions include a returnable £5.00 deposit for a door entry key fob

*These subscription categories include an £18.00 fee for £20.00 worth of Bar Vouchers. Monthly payment facility available for adult members

Social membership at £35 p.a. is available to adults over 25.

There is an initial joining fee of £20.00 per adult (Husband & wife/partners £20 jointly)

New members joining part way through the year will pay annual subscriptions on a pro rata basis.

Discounts: Where families are resident at one address there is a discount of 10% for two adult members but to qualify for the discount one must be a

FULL SENIOR TENNIS/SQUASH/GYM MEMBER. This does not apply to social membership for which no discount is available.

No refunds of subscriptions or suspensions of membership will be given for any reason

THE ABOVE FEES ARE VALID UNTIL 1^st MARCH 2010

I agree to abide by the Club’s rules and bye laws. I give permission for my name and phone number to be displayed in the membership list

Signature___________________________________ Date:____________________________________

SEND THIS APPLICATION AND A CHEQUE MADE PAYABLE TO OPLTSC TOGETHER WITH A SELF ADDRESSED STAMPED ENVELOPE TO

JILL McCLUSKEY, MEMBERSHIP OFFICE, OAKLEIGH PARK TENNIS & SQUASH CLUB 100 OAKLEIGH ROAD NORTH WHETSTONE N20 9EZ

Your application will be accepted unless you should hear to the contrary within 21days of receipt of this application.

P.T.O.

Oakleigh Park Tennis Club aims to create an enjoyable environment for all juniors who wish to take part in tennis, squash and social activities at the Club.

The club emphasises that young people have the right to be safe, secure and free from threat.

The club acknowledges that young people have the right to be treated with respect and for their concerns to be listened to and acted upon

The club will ensure that junior members have specific programmes and facilities designated for them with adequate supervision.

The club has procedures in place to help any young person who requests help and support on a confidential basis in issues relating to Child Protection

The club will ensure that all its coaches have signed the club self declaration form in relation to Child Protection and have had CRB checks.

The club will ensure that any club members and volunteers working with young people are aware of and apply the LTA Code of Conduct for Those Working with Children in Tennis and have signed the club self declaration form in relation to Child Protection.

The Club has an adult member who is specifically responsible for young people.

In applying for membership of Oakleigh Park you are required to declare any pending prosecutions or convictions which relate to young persons or children together with any cautions. This information will be treated in confidence.

Please disclose any such information on the form below. Failure to disclose such criminal convictions may disqualify you from our membership and may render you liable to immediate dismissal without notice.

I/we declare that I/we have no pending prosecutions or convictions which relate to child abuse.

PRINT NAME:…………………………. PRINT NAME……………………..

Signature………………………………… Signature……………………………

Date:……………………………………...