Family Membership Okotoks Tennis Center

OTC Family Membership Registration 2023

101 Waldron Avenue, Tower Hill Courts

First & Last Name

Address

Email

Primary Phone No.

Cell Phone No.

Alberta Health Care No.

OTC Family Membership Registration - Page 2

Additional Family Members

First & Last Name:

(Relationship) (Date of Birth of Child Under 18) (AB Health Care No)

First & Last Name

(Relationship) (Date of Birth of Child Under 18) (AB Health Care No)

First & Last Name

(Relationship) (Date of Birth of Child Under 18) (AB Health Care No)

First & Last Name

(Relationship) (Date of Birth of Child Under 18) (AB Health Care No)

First & Last Name

(Relationship) (Date of Birth of Child Under 18) (AB Health Care No)

OTC Family Membership Registration - Page 3

Medical Information - Emergency Contact

Emergency Contact

First & Last Name (Relationship)

Emergency Contact Primary Phone No.

Emergency Contact Cell Phone No.

Are there any medical concerns or special needs that we should be aware of?

Yes

No

If yes, please provide details below:

OTC Family Membership Registration - Page 4

Check Applicable Box Below

New Member(s)

Returning Member(s)

Past Member(s)

I am Interested in Occasional Volunteering

Signature

I, and on behalf of any other persons included under this membership, agree to abide by all OTC bylaws, rules and regulations, including proper court behaviour and dress. The instructor has the right to remove a participant if he/she deems that person to be disruptive and/or a safety concern to the participant and others. In addition, I, my heirs, executors and administrators, agree to release the OTC, its agents, servants, officers, directors, successors and assigns of and from any and all claims, demands, actions, causes of actions whatsoever which I have had, now have or shall hereafter have arising out of or relating to any loss, damage, injury including death, or ambulance service costs that may be sustained or incurred by me or any of my property while in, upon or around the premises of the OTC or any place or premises under the control or supervision of the OTC.

I further confirm that I, and on behalf of any other persons included under this membership, am endorsing my informed consent and acknowledge that this form acts as proper notice to the collection, use and disclosure of my personal information (necessary to properly complete this form) for OTC purposes.

I HAVE READ AND UNDERSTAND THE CONDITIONS OF THIS MEMBERSHIP.

Family Membership

Pay with Credit Cards, Prepaid Credit Cards and Bank Debit Cards. No PayPal account is needed!

CAD $100.00

Click the "Submit Button" Below to Pay for your Membership

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