NEW STUDENT MEMBERSHIP APPLICATION

* indicates required information

Please provide an email Address that can be associated with this account. You will be receive membership confirmation and important news at this account, and will require it to log in in the future.
Email:*			Send me club notifications and announcements
Please select a password. It should be anywhere from 5 to 10 characters, and can include letters or numbers. Passwords are case sensitive. Password: *       Confirm password: *
Prefix Mr. Ms. Miss Mrs.	First Name:*		Surname:*
Gender:* Male Female	Rating: N/A 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0
Address:*		Apt. #:	City:* Toronto North York Thornhill Richmond Hill Willowdale Downsview Mississauga Scarborough Etobicoke Vaughn Markham Woodbridge , ON
Postal Code:*
Home Phone:*	Business Phone: Ext.		Date of Birth: (Required only if Primary acct. is a student) January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Include my information (name and phone number only) in a future VTC Membership Directory

Please read the following agreement

I hereby release the Valley Tennis Club from all claims for damages arising from accidents or injuries which are caused by or arise from my own (or any other adult family member), or my child's participation in any program or activity at the Valley Tennis Club. I agree to abide by the rules of the Valley Tennis Club. Members are required to abide by the Rules of the Club and to wear a valid shoe tag at all times Click the Agree / Continue button to indicate your acceptance of these terms and conditions and for your Application to be submitted.