East Ayrshire Table Tennis - Membership Form Season 2024/2025 BENEFITS OF MEMBERSHIPVote at Annual General MeetingParticipation in club events Forename Surname Address Town/City Post Code Date of Birth Email Address Please select the club that you wish to submit a membership form for: Dunlop Table Tennis ClubStewarton Table Tennis ClubFenwick Table Tennis Club Please select the appropriate membership option below that you require. Payment can be made in cash or by BACS/On-line transfer to sort code: 80-22-60 account number: 19938665. Please use your name in the payment reference. Senior Player - £5Junior / Cadet / Minor Player - £3Student Player (All Ages) - £3Non-Playing Member - £3 Dunlop TTC will use your email address to communicate with you about specific membership and development opportunities. Please tick this box if you DO NOT wish to be contacted in this way. Email addresses will not be used for any other purposes.     I do not wish to be contacted. Medical Information Please detail below any important information that our coaches should be aware of (e.g. epilepsy, asthma, diabetes etc.) Please provide the contact details of an emergency contact in the event of an incident/accident Contact Name Contact Number For members under the age of 18 By returning this completed membership form, I agree to my son/daughter/child in my care taking part in the activities of the club. I understand that I will be kept informed of these activities - for example timing and transport details. I understand that in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately. Name of Parent/Carer Email of Parent/Carer Digital Signature Current Date Consent & Acknowledgment I hereby grant permission to Dunlop TTC to use photographs and/or videos of me taken during club sessions and events in any publication, news releases, online, and in other communications for the purpose of promoting the club. The consent can be withdrawn at any time by contacting the Chairman or Club Secretary.     I grant permission. Digital Signature Current Date I acknowledge having read, understood and accepted all relevant Dunlop TTC policies and procedures and agree to adhere to these throughout my membership. Copies of relevant documents are available on request from the Chairman or Club Secretary.     I grant permission.   Membership Packages Senior Player Membership£5Access to multiple practice sessions per weekAccess to league play and tournamentsClub InsuranceAffiliationsInvitations to club events Non-Playing Membership£3Invitation to club events Junior / Cadet / Minor Membership£3Access to coaches practice sessionsAccess to league play and tournamentsClub InsuranceAffiliations Invitations to club events Student Player Membership£3Access to multiple practice sessions per weekAccess to league play and tournamentsClub InsuranceAffiliationsInvitations to club events