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HENRY FARM TENNIS CLUB
2015 MEMBERSHIP APPLICATION FORM
PLEASE PRINT LEGIBLY
FAMILY INFORMATION - Contact information of main Family member
Last name: _______________________________________________ First name: ____________________________________________________
Home address: ___________________________________________________ City: ______________________ Postal code: __________________
Family
ID
(internal
use)
E-mail address: ______________________________________________________
Home phone: __________________________ Alt phone: ___________________________ (required for emergencies)
Member
-ship
Family membership: $175 - includes 2 adults and all juniors and toonies in the Family
Lessons
$
Check desired activities
Adults 18+ - First name
(Membership: $90 per Adult if not
included in Family membership)
Gender Play level House
M-F
B-I-A
League
NYTA
IC
Veterans League
Drop-in League Majors
IC
IC
IC
League League League
Mixed A Mixed B Mixed C
1
$
2
$
Check desired activities
Juniors age 12-17 - First name
(Membership: $60 per Junior if not
included in Family membership)
Age
Lessons Lessons
Gender Play level Pack A Pack B
M-F
B-I-A
Mo+We Tu+Th
NYTA
Junior
League
Junior lessons: $140 per
package in addition to
membership fee
1
$
$
2
$
$
3
$
$
1
$
$
2
$
$
3
$
$
1
$
$
2
$
$
Total $
$
Check desired activities
Juniors age 6-11 - First name
(Membership: $30 per Junior if not
included in Family membership)
Age
Lessons Lessons
Gender Play level Pack A Pack B
M-F
B-I-A
Mo+We Tu+Th
Check
Toonies age 4-5 - First name
(Membership: $30 per Toonie if not
included in Family membership)
Age
Tax receipt required for juniors and toonies?
Gender Lessons
M-F
Y-N
Check if Yes
NYTA
Junior
League
Junior lessons: $140 per
package in addition to
membership fee
Toonies must be past their 4th
birthday.
Toonie lessons: $15 per
session, plus $2 per lesson
Grand total
$
____ # tags received on (date) ________________________
Signature: ______________________________ Date: __________________
More info at www.henryfarmtennisclub.ca
Applications can be brought to the Clubhouse or mailed to:
HFTC Membership Administrator:
68 George Henry Blvd., Toronto, ON, M2J-1E6
Cheques payable to "Henry Farm Tennis Club"
I understand that the above information will only be used for the permit application requirements of the City of Toronto and for the Henry Farm Tennis Club membership
activities and will not be used for any other purpose.