Vernon Tennis Association

VERNON TENNIS ASSOCIATION 2010 REGISTRATION FORM

1. You can download the editable online form:

-by right clicking (windows machines) and saving the document to your computer

then email to marsharwhite@yahoo.com

2. Please print the registration form for all members and mail a cheque or money order payable to:
Vernon Tennis Association in the amount of $60/member to:

MARSHA WHITE

5316 PEARSON RD., VERNON, BC V1B 3K8

FAMILY NAME: ___________________________________________

FIRST NAME: ___________________________________________ Membership No: ______

(To be completed by Registrar)

SPOUSE OR PARTNER: _______________________________________ Membership No: ______

(To be completed by Registrar)

CHILDRENS' NAME(s) and ages: ___________________________________________ Age: _____

__________________________________________ Age: _____

MAILING ADDRESS: ___________________________________________________________

________________________________Postal Code: ________________

PHONE: Home: _______________________ Work: ________________________

EMAIL ADDRESS: ___________________________________________________________

(Recommended for ease of communication)

LEVEL OF PLAY: (Link: www.tennisbc.org for complete description of the "Self-Rating Guide"):

Yourself: _________________ Spouse/partner: _______________

Children: ___________________________________________________________________

I will allow my phone number and/or my email to be on a list of members distributed to VTA membership only: (circle one) YES NO

SIGNATURE: ____________________________________ Date: _____________________

(Names of juniors (under 18 yrs.) will not appear on any public list. Juniors will be contacted by the VTA each time junior programs are available.)

Cheque or Money Order in the amount of ________________ must be included with Registration.

(Enter Amount)

*Any VTA memberships purchased will be eligible to receive a 15% discount on one Recreation Services registered tennis program or lesson set subject to space availability.

You must have your VTA membership prior to registering in a Recreation Services program.*