www.bridlewoodtennis.ca Address: 445 Huntingwood Dr (between Pharmacy and Warden), Toronto, ON 2015 BRIDLEWOOD TENNIS CLUB MEMBERSHIP APPLICATION Family address (# Street, City, Postal Code): Email: New Application Family Adults (up to 2): All members (adults and juniors) on one application form MUST be from same family with address listed above. Name (FirstName LastName) Gender Age Group Telephone# Renewal Interested in (Optional) M F U18 18-60 61+ Volunteer STF ICTA House League M F U18 18-60 61+ Volunteer STF ICTA House League Family Juniors (up to 3, each under 18 years old as of December 31, 2015): For junior-only application, please provide parent/guardian contact info above. Name (FirstName LastName) Gender Birthdate MM/DD/YY Tennis Level Interested in (Optional) M F / / Beginner Intermediate Advanced Volunteer STF ICTA House League M F / / Beginner Intermediate Advanced Volunteer STF ICTA House League M F / / Beginner Intermediate Advanced Volunteer STF ICTA House League Membership Due: Category Early Bird(till May 16th) / Regular Quantity Adults $80(early bird) / $85(regular) =$ Juniors $40(early bird) / $45(regular) =$ Family $160(early bird) / $170(regular) =$ Optional Any amount donated to Philpott Inner City Children's Tennis Fund Please deliver signed form and payment to Club Membership Officer: Total Payment Grand Total: $ Cash Cheque Payable to Bridlewood Tennis Club Tamara Villagomez 76 Revlis Crescent Toronto, ON M1V 1E9 =$ 1. Please PRINT clearly. Please make sure address/email/telephone# is correct to receive shoe tags (to be tied to tennis shoes while on courts) and Club communications in time. 2. Team fees are extra for STF/ICTA/House League. Junior beginner members may be eligible for up to 4 free group lessons. Please contact Club for details. 3. Please visit www.bridlewoodtennis.ca for Club news, events, and contacts. Signature: Date (MM/DD/YY): (Parent/guardian if junior-only) / / In consideration of acceptance of the applicant as a member in the Bridlewood Tennis Club and payment of membership dues, the applicant (and parent or guardian) agrees to save harmless and keep indemnified the Ontario Tennis Association (OTA) and the Bridlewood Tennis Club, their officers, directors and members, and their respective agents, officials, servants, and representatives from and against all claims, actions of classes of action, costs, expenses and demands including costs attendant thereto on a solicitor and his own client basis, however caused, arising out of or relating to any activity of the applicant taking part or being connected to any activity of the OTA and the Bridlewood Tennis Club, whether caused by any negligence of any of the parties hereto, or their representative agents, officials, servants or representatives, and it is understood and agreed that this agreement is to be binding on the applicant, his heirs, executors and assigns. Membership information is confidential and restricted for use by: 1) Bridlewood Tennis Club 2) Toronto Parks, Forestry and Recreation Division, 3) Scarborough Tennis Federation (STF). Rev.2015A
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