Application Form - Junior

Welcome to Scone Tennis Club!

In order to provide a safe club for all our junior members, and to keep you up to date with club activities, we would like you to tell us some information about yourself.

What You Need to do

Please complete this form and get a parent or guardian to sign it if you are less than 16 years old.

Post the completed form with your cheque made payable to "Scone Tennis Club" to:

Fraser Gibson

Scone Tennis Club Treasurer

24 Angus Road

Scone

PH2 6QU

Your Details

Print your details below:

Full Name .....................................................
Date of Birth .....................................................
Gender Male / Female
Address .....................................................
Address .....................................................
Post Code .....................................................
Telephone - Home .....................................................
Telephone - Mobile .....................................................
E-mail .....................................................

Parent or Guardian

Please provide details of a parent/guardian that we can contact in case of an emergency:

Full Name 1 .....................................................
Name 1 - Relationship to Child .....................................................
Full Name 2 .....................................................
Name 2 - Relationship to Child .....................................................
Address .....................................................
Address .....................................................
Post Code .....................................................
Name 1 - Telephone - Home .....................................................
Name 1 - Telephone - Mobile .....................................................
Name 1 - E-mail .....................................................
Name 2 - Telephone - Home .....................................................
Name 2 - Telephone - Mobile .....................................................
Name 2 - E-mail .....................................................

Special Needs

Please provide details below:

special care needs .....................................................
dietary requirements .....................................................
allergies .....................................................
medical conditions .....................................................

Junior Member Signature:

I/We agree to pay the appropriate subscription and to abide by the Club ’s bye-laws which are exhibited in the Clubhouse.

Signature .....................................................
Print Name .....................................................
Date .....................................................

Parent/Guardian Declaration (ESSENTIAL if less than 16)

By signing and returning this form, I agree to ............................. (print child’s name) taking part in the general activities of the club and specifically in matches/competitions on behalf of the club which may involve him/her travelling to another club.

He/she has agreed to follow the junior rulesof the club, and I agree to accept the code of conduct for parents on display in tyhe clubhouse.

To my knowledge, he/she has no special care needs, dietary requirements , allergies or medical conditions that could affect his/her safety at the club, other than those declared on this form.

I understand that in the event of any injury, illness or other medical need, all reasonable steps will be taken to contact me, and to deal with the situation appropriately.

I give my permission for my child to be involved in any puplicity (photographs) surrounding the promotion of the club and understand that any photographs used by the club will follow LTA guidelines and will not name the child - unless I give my express consentfor a particular event or publication.

I further give my permission for photographs and or videos to be taken for coaching purposes by LTA Licenced coaches, at thier discretion.

I understand that I must inform the club of any changes to the information provided on this form.

Parent/Guardian Signature:

Signature .....................................................
Print Name .....................................................
Date .....................................................

Voluntary Gift Aid Declaration (Recommended by STC)

I confirm that I am a United Kingdom taxpayer and would like Scone Tennis Club to reclaim income tax on my membership subscription and all future donations that I may make to the club. I also confirm that I have paid an amount of tax at least equal to any amount of tax reclaimed.

Parent/Guardian Signature:

Signature .....................................................
Print Name .....................................................
Date .....................................................

British Tennis Membership

Please note that STC is actively encouraging all its members to join up to this scheme.

Please note that membership of British Tennis is free to Scone club members and a high percentage of members from Scone may well bring benefits to the club.

If you wish to opt-out please inform the junior Sub-Committee headed by Douglas Gibson. In the absence of receipt of an opt-out, STC wil elect to sign up all members to this scheme.

LTA Child Protection

Please report any concerns to our child protection officer Ian Hunter mobile 07786 637361

Alternatively if Ian cannot be contacted, try phoning Matt Hulbert at tennis Scotland 0131 444 1984

Help is available 24 hours from the Lawn Tennis Association Mobile (24 Hour) 07971 141 024 or Tel 0208 487 7008/7116