Rockfield Tennis Club

Online Family Membership Application

May 2021 - April 2022

First Member Name *

First Member Type

Date of Birth *

Second Member Name *

Second Member Type

Date of Birth *

Third Member Name (Optional)

Third Member Type (Optional)

Date of Birth

Fourth Member Name (Optional)

Fourth Member Type (Optional)

Date of Birth

Fifth Member Name (Optional)

Fifth Member Type (Optional)

Date of Birth

Sixth Member Name (Optional)

Sixth Member Type (Optional)

Date of Birth

Primary Contact Name *

Family Address Line 1 *

Family Address Line 2

Family Address Line 3

Family Address Postcode

Primary Email *

Primary Mobile Number *

Please Select To Opt In

Membership Terms and Conditions *

I/We agree to abide by the Rules of the Club as defined by the Committee and specifically to support the Child Protection Policy, Code of Conduct for Players and Code of Conduct for Parents/Guardians (available to view in clubhouse)