PETERBOROUGH TOWN SPORTS CLUB MEMBERSHIP FORM

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PETERBOROUGH TOWN SPORTS CLUB MEMBERSHIP FORM FULL MEMBER £120

HOCKEY

CRICKET

TENNIS

BOWLS FULL MEMBERSHIP £55 SQUASH FULL MEMBERSHIP £90

( Inc Tournament Fees )

SENIOR FULL TIME EDUCATION £80 HOCKEY

CRICKET

TENNIS

SQUASH

JUNIOR, SCHOOL YEAR 11 – 13 £65 HOCKEY

CRICKET

TENNIS

SQUASH

JUNIOR, UP TO SCHOOL YEAR 10 £45 HOCKEY

CRICKET

TENNIS

SQUASH

SOCIAL MEMBERSHIP £10. FOR PARENTS, FRIENDS AND NONE PLAYING MEMBER CLUB LOTTERY £60. YEARLY CASH PRIZE DRAW RENEWAL DATES: HOCKEY/SQUASH 1ST OCT (30 DAYS)

CRICKET/TENNIS 1ST MAY (30 DAYS)

CREDIT/DEBIT, CHEQUES PAYABLE TO PTSC ONLINE PAYMENTS (SORT CODE) 20-67-37 (ACCOUNT NO) 50719064 OR PTSC WEBSITE www.ptsc.org.uk GOCARDLESS MEMBER CONTACT DETAILS SURNAME

FIRST NAME(S)

DATE OF BIRTH /

/

HOME ADDRESS POSTCODE DAYTIME TEL

MOBILE NO

EMAIL ADDRESS NEXT OF KIN Name RELATION

MOBILE NO

MEDICAL INFORMATION (e.g. asthma inhaler, allergies) PLEASE PROVIDE CAR REGISTRATION FOR ALL VEHICLES (ANPR) 1, 2, 3, 4, CHILD PROTECTION It is a requirement of Peterborough Town Sports Club policy that parental/legal guardian consent is provided for participation, transportation and photography. The Peterborough Town Sports Club members’ code of conduct and safeguarding and protecting young people policies are on display on the club notice board. TRANSPORTATION/PHOTOGRAPHY I consent to my son/daughter travelling to venues for matches and training, in transport provided by the club, which may include travelling in other player’s private cars. In some environments, particularly adult competitions, it is impossible to control photography by external parties. I therefore consent to photography being used at matches without my specific consent. Email Address will be used by management and maybe shared with other club members, to opt out of the email share please tick box. SIGNED:

DATE: