Tennis Membership Application

Season Runs from May to September

Family Or Couple	Adult (18 +) - Single Player	Junior/Teen (5-17)	Senior
$120.00	$67.00	$57.00	$62.00
Memberships after August 1st
$60.00	$33.50	$28.50	$31.00
Drop in Fee: $10.50

Annual Membership Fees include HST
*Refunds will not be issued without a doctor’s note*

Payment can be made at the Carleton Place Arena during office hours; Monday – Friday from 8:30am – 4:30pm.  Our accepted methods of payment are cash, cheque, debit and credit.  Please note that there is a 3% service charge for all payments made by credit card.  Payment must be made in person.

Membership Type:

Family/Couple

Adult

Junior/Teen

Senior

List Names for the membership (and age if under 18):*

Address

City

Email Address*

Phone*

Waiver: To my knowledge I (or my ward) have no health impairment which might interfere with or preclude my participation in the above-described program. Accordingly, with respect of such participation, I hereby release the Corporation of the Town of Carleton Place, its employees or agent from any and all claims for injury, loss or damage, which may be suffered by me (or my ward) or which may arise from any physical defect, infirmity, or incapacity known to me insofar as the Town, its employees or agent may be found liable or responsible for any injury or loss sustained by me.*

Acknowledged

Enter the code displayed*