Join our Adult Classes Participant Name * First Name Last Name Date of Birth * Date of Birth MM DD YYYY Phone * (###) ### #### Email * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Does the participant have any medical conditions or injuries we should be aware of? * * yes no if Yes- please specify including medication taken and any allergies: How would you like to be contacted for updates on events and coaching sessions? Email Whatsapp Group Both I do NOT wish to be contacted Emergency Contact * primary contact First Name Last Name Emergency Contact Phone * primary contact (###) ### #### Emergency Contact Email * primary contact Emergency Contact Home Address * primary contact Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact secondary contact First Name Last Name Emergency Contact Phone secondary contact (###) ### #### Emergency Contact Email secondary contact Do you give permission to be photographed or recorded during activities, and for the images or videos to be used for things like our website, social media, or newsletters * YES I give my consent NO I do not give my consent I am aware of the presence of CCTV surveillance on BLTC premises. A copy of the CCTV policy is available for review upon request. * I acknowledge By ticking this box, I acknowledge that this serves as my consent in place of a signature. * * signed By checking this box, I acknowledge that I have reviewed and accepted the terms and conditions. * link below on our website for full detail I have read, understood, and agree to the Terms and Conditions Bridlighton Lawn Tennis Club Membership Confirmation * I am a current Bridlighton Club member. I understand that incorrect details may lead to application denial and loss of BLTC benefits with Romita Tennis. No I am not a BLTC member. Thank you!
