Fort Erie Tennis Membership Application Form

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Required fields are marked with asterisks (*)

Applicant Information

Full Name:

Date of Birth:

Address:

Street:

City/Town:

Province:

Postal Code:

Phone Number:

Email Address:

Emergency Contact Information:

Name:

Relationship:

Phone Number:

Membership Details

Membership Type (please select):

Adult

Youth

Preferred Start Date:

Agreement and Signature

I certify that the information provided above is accurate and complete. I understand and agree to abide by all Town of Fort Erie tennis facility rules and regulations.

Signature:

Clear

Date: