MembershipForm

Wangaratta Lawn Tennis Club

(Tennis, Croquet, Pickleball)

Membership Form 2023/24

Membership year is from October 1 to September 30

Each applicant must fill out a seratate form, except for FAMILY membership where all family members can be entered on the one form.

Also, where members from the same family are using the same email address, and the combined fee is less than a Family membership, they can all be entered on this form by selecting the “Multiple members” below. This could include combinations such as one adult and one junior, two juniors, three juniors, etc.

Member Details

(Familes: enter the main adult here; the others below)

First Name

Last Name

Postal Address

City

Post Code

State

Email

Mobile

Phone

Date of birth

Gender

Male Female Other

Occupation (optional)

What is your primary sport?

Tennis Croquet Pickleball

Are you applying for:

Individual member Family Multiple members

Membership Category

Hot Shots Junior Student Adult

Enter additional members here

(Extra name fields will appear as you go)

Name

Date of Birth

Gender

M F O

Summary of 12 Month Membership Fees

Hot Shots
Junior (18 & under)
Student (Full-time, 19 - 23)
Adult
Family

$ 35
$ 91
$111
$215
$450

Payment is not part of this form. Once the form is submitted you must make your payment according to the payment method you select below.

How will you be making your payment?

Direct Deposit (preferred) Cheque Cash or Tap at the clubhouse Other

Direct Deposits:

Bank: NAB

BSB: 083-945

Account No: 51 607 9960

Cheques:

Cheques to be made out to Wangaratta Lawn Tennis Club.

Cash or TAP:

Available at the clubhouse when officials are in attendance.

Other:

Use your name for the payment description

Enter payment amount

Comments / Queries

Terms & Conditions

For junior and hotshot members, the acceptance below must be made by a parent or guardian.

Parent / Guardian Name

.

I accept and agree to the terms and conditions.

Please make your payment as soon as possible after submitting this form. Your membership will become active once payment has been received.

There may be a small delay after clicking the Submit button below. Also, if you have missed any of the compulsory fields above, the Submit button will not progress forward. The missed field(s) will be identified by a message in red text.