Membership Renewal Application FormAlan Travers2018-09-12T23:02:23+01:00

MEMBERSHIP RENEWAL APPLICATION FORM

MAIN APPLICANT DETAILS

Name*

Email*

Date of Birth

Address*

Phone No*

What sport are you interested in?*
TennisBadmintonSquash

Some memberships require more info than others.
What type of Membership are you applying for?

[group family-membership]

FAMILY MEMBERSHIP

If applying for Family Membership, please provide details of additional family members:

Adult 2 Name: Date of Birth:

Select number of children applicants:

[group family-child1]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-child2]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 2 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-child3]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 2 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 3 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-child4]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 2 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 3 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 4 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-child5]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 2 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 3 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 4 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 5 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-child6]

Child 1 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 2 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 3 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 4 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 5 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:

Child 6 Name*: Date of Birth*:

Details of any known allergies , medical conditions or medications taken:
[/group]

[group family-children]

MEDICAL DETAILS

Doctor's Name*:
Doctor's Phone No:*

EMERGENCY CONTACT DETAILS
(OTHER THAN PARENT/GUARDIAN)

Name*:
Mobile*:

I the Parent/Guardian of the above named:

We/I consent to the above application to GLTC.
We/I understand that personal data on this form will be used by the club for the purpose of registering and maintaining the applicant’s membership.
We/I understand that I can resign the applicant’s membership by writing to GLTC and that all personal data will then be removed.
We/I understand that the applicants personal data will also be used for administration purposes to maintain their membership.
We/I understand that if we do not provide the applicants personal data their membership cannot be registered with GLTC.
We/I understand that photos may be taken and used for promotional purpose on social media and in club.

By submitting this membership application form, we/I have been made aware that GLTC has developed a child protection policy and the club is committed to ensuring the safety of all juniors.
[/group]
[/group]

[group junior-membership]

JUNIOR MEMBERSHIP

If the applicant is under 18 years of age and is applying for Junior Membership, please provide the following additional details:

MEDICAL DETAILS

Doctor's Name*:
Doctor's Phone No:*
Details of any known allergies , medical conditions or medications taken:

PARENT/GUARDIAN DETAILS

Parent/Guardian Name*:
Mobile*:
Email Address*:

EMERGENCY CONTACT DETAILS
(OTHER THAN PARENT/GUARDIAN)

Name*:
Mobile*:

I the Parent/Guardian of the above named:

We/I consent to the above application to GLTC.
We/I understand that personal data on this form will be used by the club for the purpose of registering and maintaining the applicant’s membership.
We/I understand that I can resign the applicant’s membership by writing to GLTC and that all personal data will then be removed.
We/I understand that the applicants personal data will also be used for administration purposes to maintain their membership.
We/I understand that if we do not provide the applicants personal data their membership cannot be registered with GLTC.
We/I understand that photos may be taken and used for promotional purpose on social media and in club.

By submitting this membership application form, we/I have been made aware that GLTC has developed a child protection policy and the club is committed to ensuring the safety of all juniors.

[/group]

[group child-photography-consent]

CONSENT TO USE OF PHOTOGRAPHY

I consent to having my child's photos from Club Events displayed on the Club's Website, Facebook Page and in Club Promotional literature or advertising.I do not consent to having my child's photos from Club Events displayed on the Club's Website, Facebook Page and in Club Promotional literature or advertising.
[/group]

[group student-membership]

STUDENT MEMBERSHIP

If you are in full-time third level undergraduate education and are applying for Student Membership, please provide the following additional details:

EDUCATION DETAILS

University/College Name*:
Course*:

Proof will be required: you must produce documentation from your College/University when paying at Reception (a Student Card will not suffice). The Club reserves the right to contact the University/College to verify the details.

[/group]

DISCLAIMER

Galway Lawn Tennis Club, its Officers or Staff cannot accept any responsibility or liability for damage, accidents or injury to either property or individuals incurred on Club premises or grounds. All persons on site are required to comply with the rules of the club and adhere to safe practices at all times when on Club property. Juniors are not permitted in the club after 7pm, unless given special permission.

I hereby agree to be bound by the Memorandum and Articles of the Company and in particular I undertake to contribute to the assets of the company, in the event of its being wound up while I am a member, or within one year afterwards, for payment of the debts of the Company contracted before I cease to be a member, and of the costs, charge and expenses of winding up and for adjustment of the rights of the contributories among themselves such amount as may be required not exceeding €1.27.

PLEASE NOTE:
Affiliation Fees to the relevant National Racquet Association are NOT included in your membership fee. As part of the membership process, the Club will offer to collect Affiliation Fees for the respective Association and forward directly, on your behalf, your payment.
Affiliation Fees are obligatory for all members who play in competitions. All club events included.
These fees are not part of the club's income.

SIGNATURE OF CONSENT:

I have read and agree to abide by the rules of Galway Lawn Tennis Club and I confirm that all details are correct.

Applicants can use the facilities having applied for membership and paid the appropriate membership fee, but only become members when approved at a meeting of the board of directors.

By using this form you agree with the storage and handling of your data by this website.

NEXT STEP: SELECT MEMBERSHIP TYPE

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