General Information:

Name:           Date of Birth:

Address: 

City:   State:    Zip: 

Phone: (Home) -   (Work) -   (Cell) -

Company Name:   E-Mail:

Referred by: 

Type of Membership:
(Please Select One)

Family - $195.00      Single - $160.00     Junior - $90.00

Senior Single (age 55+) - $100.00     Senior Couple (age 55+) - $125.00

Family Membership Information:

Spouse's Name:      Date of Birth:

Child's Name 1:      Date of Birth:

Child's Name 2:      Date of Birth:

Child's Name 3:      Date of Birth:

Child's Name 4:      Date of Birth:

Senior Couple Membership Information:

Spouse's Name:      Date of Birth:

Junior Membership Information:

Parent/Guardian Name:      Phone:

I agree to become a member of The Tennis Club at Springhurst.  All membership benefits will be applicable when payment is received.  Membership is one year from the date of signing.
 

NOTE:  By clicking the submit button below, you agree that all information above is accurate to the best of your knowledge.  You will be presented on the next screen with a 'Printable' copy of this completed Membership Application.  You are encouraged to bring this hardcopy with you to The Tennis Club on your next visit to prevent having to re-complete the form by hand in the event of a technical issue with our receiving your completed form electronically.