Longueville Tennis Club

The form may be used to apply for up to five family members.

Name

First Name

Last Name

Mobile Phone Number

(###)

###

####

Landline Phone Number

(###)

###

####

Male/Female/Other

Birthdate

Required for Junior Members

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is the main reason you are joining the Longueville Tennis Club?

Additional Family Members

Family Member One:

Name

First Name

Last Name

Email Address

Mobile

(###)

###

####

Birthdate

Required for Junior Members

YYYY

Family Member Two:

Name

First Name

Last Name

Email Address

Mobile

(###)

###

####

Birthdate

Required for Junior Members

YYYY

Family Member Three:

Name

First Name

Last Name

Email Address

Mobile

(###)

###

####

Birthdate

Required for Junior Members

YYYY

Family Member Four:

Name

First Name

Last Name

Email Address

Mobile

(###)

###

####

Birthdate

Required for Junior Members

YYYY

Family Member Five:

Name

First Name

Last Name

Email Address

Mobile

(###)

###

####

Birthdate

Required for Junior Members

YYYY

Additional Comments

If accepted I/we agree to abide by the rules and regulations of the club.