Membership Application

Name:___________________________________________

Email:___________________________ Cell:________________________Phone:___________________________

Current Address________________________________________________________________________________

City:___________________________________State:_____________________Zip code:_____________________

Emergency Contact:_______________________Relation:____________________Phone:_____________________

Family Members: (if applying for other than a single membership)

Name:____________________________ Name:__________________________ Name:______________________

Name:____________________________ Name:__________________________ Name:______________________

Waiver - Members of North Ridge Racquet Club acknowledge the risks associated with playing competitive tennis and accept those risks voluntarily, waive claims of injury and property damage & release and hold harmless North Ridge Racquet Club, and their employees with respect to any injury or loss caused by negligence or otherwise to the fullest extent prevailed by law. I understand my membership is non-transferable and non-refundable.

I have read and understand this waiver.

Signature of applicant/guardian:__________________________________________ Date:_____________________

                                                       LEVEL OF MEMBERSHIP (valid for 1 year)

_______Individual             $200.00 +tax

_______Family                   $300.00 +tax

_______Junior (under 18)  $75.00 +tax     year of birth required____________

_______Senior (over 65)    $140.00 + tax   year of birth required______________

_______Senior Family         $210.00 +tax