Membership

Leeds Judean Table Tennis Club

(An ETTA registered PARTICIPATION PremierClub)

Membership Application and Renewal Form 2015-16

Please give full contact details – it is intended to use emails &/or SMS messaging to contact members in future.

ANNUAL MEMBERSHIP FEES (1st April - 31st March)

Membership for Adults iS £120.00 per year including league fees.
Membership for Adults is £95.00 per year as a social member.
Membership for Juniors (up to age 16) is £85.00 per year including league fees.
Membership for juniors (up to age 16) is £70.00 per year as a social member.

NOTE 1: Annual Fee includes MASSC Membership, currently £20 / senior, £10 / junior + ETTA membership.

NOTE 2: Form with cheque payable to:

Leeds Judean Table Tennis Club. Sent to address on the form or by bank transfer:

SORT CODE: 40-27-14

ACCOUNT NO: 51499866

ETTA FEES

Individual compulsory fees incl:

Player member £10.00 (£5.00 jnr) Social players £4.00

I would like to apply for membership of the Leeds Judean TT Club.
Please use this online form if paying by bank transfer otherwise download an application form here

Name of Applicant *

First

Last

ETTA Reg No: (If known) *

Gender. Please Select One *

Date of Birth *

Occupation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Adult or Junior *

Parent or Guardian *

First

Last

Telephone / Mobile *

Email *

Do you wish to play in the summer league? *

Yes - Regularly Yes - Occasionally (once or twice a month) Yes - Only in an emergency No - not under any circumstances

Fees *

Registered Team Player (see note 1) Inc ETTA fee £120.00 (Senior) Registered Team Player (see note 1) Inc ETTA fee £85.00 (Junior) Social Player (see note 1) inc ETTA fee £95.00 (senior) Social Player (see note 1) inc ETTA fee £70.00 (junior)

Is there any way you can help the club: e.g. Coaching, database maintenance, transport etc. Please comment below or contact a club officer. *

I have read and agree to abide by the club rules and codes of conduct. I agree to this information being kept on the club database. Please sign and date *

For under 16s this form should also be signed by a parent or guardian. I understand that the young person named above will be required to abide by the club rules and codes of conduct, and that in the event of an incident all reasonable steps will be taken to use the contacts provided. I give / do not give* permission for my son / daughter/ young person in my care to appear in photographs taken during club activities and used in club publicity material, press releases and on the club website. (*delete as appropriate) Please sign and date. *

I have made a payment of £ (enter amount in box) by bank transfer on (date) *

Submit

Membership for Adults iS £120.00 per year including league fees.Membership for Adults is £95.00 per year as a social member.Membership for Juniors (up to age 16) is £85.00 per year including league fees.Membership for juniors (up to age 16) is £70.00 per year as a social member.

I would like to apply for membership of the Leeds Judean TT Club. Please use this online form if paying by bank transfer otherwise download an application form here

Membership for Adults iS £120.00 per year including league fees.
Membership for Adults is £95.00 per year as a social member.
Membership for Juniors (up to age 16) is £85.00 per year including league fees.
Membership for juniors (up to age 16) is £70.00 per year as a social member.

I would like to apply for membership of the Leeds Judean TT Club.
Please use this online form if paying by bank transfer otherwise download an application form here