Junior Club Registration 09-10

Registration can be completed by either:

Complete the form below or
Download, complete and post a completed form into Queenstown Tennis Club, P O BOX 1019, Queenstown 9348

Wednesday Competition

Starting second Wednesday of next term, singles & doubles. Contact Beth Wood 442 3363. Players are ranked in teams according to ability. Please register promptly if interested.

Southern Lakes Saturday Competition

Saturdays 9am-2pm commencing. Doubles and singles. Ability based. Enquiries Dave Pollack

First Name

Last Name

Date of Birth

Top Dog no. (www.tennis.org.nz)

Parent/Guardian (See consent below)

Address

Home Phone

Work Phone

Mobile

Junior Membership $35 one child, $60 two children, $75 for three or more children

Payment Type

Cheque
Cash
Online Direct Banking

Queenstown Tennis Club Inc - Bank Account Number - ASB Queenstown 12-3234-0099799-00

Wednesday Competition

Please tick if interested in playing

Southern Lakes Saturday Competition

Please tick if interested in playing

Under 18 years parent, guardian, caregiver consent and Emergency Contact.

I am the parent/guardian/caregiver of the applicant who is under 18 years of age. I have read and understood this registration form and the applicant’s Membership Declaration.

I consent to the Applicant’s application for membership on the basis set out in the form. I consent to the use of my name and contact details as per the Declaration over page and for contacting me in an emergency involving the applicant