Valleystream Tennis Club Registration Form, Summer 2017

3412 Richmond Road (approximately 1 km west of Bayshore Shopping Centre)

Website: http://qualicum.org/valleystream-tennis-club/
Contact us at: valleystream.tennis@gmail.com
2017 Membership fees (N.B. ages as of December 31, 2016)
Individuals with F, S, I and J memberships have playing privileges on both pickleball and
tennis courts
Type Description Early Bird Regular
(before May 7)
Family (F) Up to 2 adults & 3 juniors living at the $110 $125
same address
Single (S) 1 individual age 25 and older $80 $90
Intermediate (I) 1 individual age 18 24 $50 $55
Junior (J) 1 individual under age 18 $40 $45

Pickleball (P) 1 individual with playing privileges on n/a $60

pickleball courts only

Registration form with payment can be dropped off at Valleystream Tennis Club Open House,
Saturday May 6 from 10am 2pm or delivered or mailed to:
7 Hobbs Avenue, Ottawa, ON K2H 6W7 (Qualicum-Graham Park)
Cheques made payable to Valleystream Tennis Club.
Name Office Use Only

Street Address: Date received

City and Postal Code: $ Received

Home telephone: Other: Cheque /Cash

Email address: Membership No.

Please list all members covered by this application.

Name Type Birth date: dd/mm/yy
(J, I, S, F or P)
1.
2.
3.
4.
5.

Please check which of the following e-mail groups youd like to be part of:
Ladies doubles Tues am
Ladies doubles Fri am Mixed Doubles Wed pm
Pickleball, beginner Pickleball, intermediate Pickleball, advanced