Personal Details

    Title:

    MrMrsMissMsDr

    First Name:

    Surname:

    Address:

    Postcode:

    Telephone:

    Mobile:

    Email:

    Date of Birth:

    British Tennis Membership No.:

    I would consdier myself to be:

    BeginnerIntermediateAdvanced

    Emergency Contact Details

    Emergency Contact Details:

    First Name:

    Surname:

    Telephone:

    Mobile:

    Email:

    Medical Conditions & Allergies

    It would be helpful if you could advise us of any special care needs, medical conditions, dietary requirements or allergies.

    Medical Conditions & Allergies

    Membership Category

    Subscription rates below are for a full year from 1st March to the end of February. To calculate the amount payable, divide by 12 and multiply by the number of complete months remaining up to and including next February. (Ages apply at the previous 1st March)

    Membership Category:

    Junior 16 to 17: £105Junior 13 to 15: £74Junior 12 and under £42

    Payment Method

    Payment Method:

    Online Payment: Visit our Membership Shop to pay online via card or PayPal.
    BACS Payment: Account Number: 67035168 Sort Code: 30-94-97. Please reference your name when paying via bank transfer.
    Please Note: Membership will only begin once payment has been received.


    Parent Name:

    Date:


    By submitting this form you confirm application to become a member of the Leicestershire Tennis and Squash Club and agree to the Club Rules viewable HERE