2012 Membership
Application 		P.O.Box 621
Kingston, Ontario K7L 4X1
Tel. (613) 542-2467
www.kingstontennisclub.com
Membership Rates
(including HST)		 NEW MEMBERS
& “Earlybird”
- Until April 6th
***		 REGULAR

- After April 6th
***		Proper attire should be worn, and wearing of non-marking tennis shoes on the courts will be strictly enforced. Check with a steward if you're unsure!

Players and spectators are expected to respect the rights of all KTC members and guests, and to show courtesy to each other at all times both on and off the courts.

Questions/concerns before opening day? Telephone 546-6088
email: ktc@kingstontennisclub.com website: kingstontennisclub.com
Family $540 $630
Couple $405 $475
Adult $270 $315
Student/Junior $170 $200

(* LAST NAME / * FIRST NAME)

ADULT MEMBERSHIP		 JOIN MIXED-
SINGLES LADDER?		 M
or
F		 WORK/Alt. TELEPHONE
 E-MAIL ADDRESS (Recommended)
 BIRTH DATE/AGE (under 18) KTC POLO?
( $30 EA)
#,SIZE,COLOUR
**		 TOTAL
AMOUNTS
COUPLE *
FAMILY
JUNIORS / STUDENTS (if 18 or over please provide school name)    
* Couple must reside at same address. NOTE: one parent and one child (student) may join at couple rate.
** Polos: Men:White/Black Shoulders S M L XL ; Women: White/Red Shoulders S M L XL. Additional colours
Please tick these checkboxes to allow display of the info in sign-up club activities' ranking lists and programs.
*** Early Birds: cheque may be post-dated to April 6th.  TOTAL above: $   
Donation (toward club repairs and improvements): $25  $50$100  other donation:  $   
TOTAL PAYMENT: $   
* HOME PHONE  (Please make cheque payable to Kingston Tennis Club 
and include with mailed application) 
* STREET ADDRESS 
    ADDRESS 2   * CITY  
    PROVINCE   * POSTAL CODE  
* DATE  
*  By submitting this form, I acknowledge that the Kingston Tennis Club assumes no
 responsibility for accidents or illness due to the nature of the activities.

SIGNATURE _________________________________________________________________