Application for Membership

MEMBER INFORMATION

Name
Date of Birth
/ /
Address
City
State
ZIP code
Country
Email Address
Phone Number

In case of emergency, please contact:

Full Name
Phone Number

FAMILY MEMBERSHIP

(Please provide names and ages of other adult and children)

Name
Email Address
Date of Birth
Name
Email Address
Date of Birth
Name
Name
Email Address
Email Address
Date of Birth
Date of Birth

PRIVACY STATEMENT

I consent to the collection, storage, use and disclosure of my personal information in accordance with the Tennis Australia privacy statement and the Tennis Australia privacy policy, which contains information about how I may access and seek correction of my personal information, how I can complain about a breach of my privacy, and how the complaint will be dealt with.



MEMBERSHIP CATEGORY

Please select the membership best suited to your needs (Refer here for description of categories)

Each membership fee includes GST and, where applicable the Tennis West Affiliation and Personal Accident Insurance fees.

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Membership Type

Please agree to the Privacy Statement above and select a membership type to continue.