Membership Application Primary Member * First Name Last Name Email * Phone * (###) ### #### Summer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Winter Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Self Assess Level (Tennis) A B+ B C Self Assess Level (Padel) A B+ B C Self Assess Level (Pickleball) A B+ B C Membership Type Individual Membership: $35,000 Initiation Fee + $10,000 Annual Dues Family Membership: $50,000 Initiation Fee + $20,000 Annual Dues One Month Membership: $20,000 Shirt Size Small Medium Large X-Large Children Under 22 Names & Age Family Memberships Only Spouse Family Memberships Only First Name Last Name Email Phone (###) ### #### Date of Birth MM DD YYYY Spouse Level (Tennis) A B+ B C Spouse Level (Padel) A B+ B C Spouse Level (Pickleball) A B+ B C Shirt Size Small Medium Large X-Large Interests Mark all that apply Private Lessons Game Arranging Clinics Cardio Drills Leagues Social Activities Inter-Club Tournaments Morning Yoga Children’s Camp Wine & Cheese Pickleball Socials How often do you plan to attend the club? Mark all that apply Every day Once a week A few times a week Which days do you like to play? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Name On Credit Card Type of Credit Card Visa Mastercard American Express Discover Credit Card # Credit Card Expiration Date Credit Card Security Code Billing Zip Code Checkbox * By completing this application, and pending your applications approval by the membership committee, you authorize us to process the initiation fee and first year annual dues using the credit card provided. I Agree Thank you!