NS&TC Membership Application

NS&TC Membership Application
Date of Submission to Waitlist

MonthDayYear
Date
Date*

MonthDayYear
I hereby submit my Application for Membership in the Newton Squash & Tennis Club and in consideration of acceptance thereof:

a) I hereby subscribe to the $1,500.00* initiation Fee, and agree to pay therefore the sum of $500.00* annually until fee is fully paid (or so long as I am a Member of the Club); No initiation fee for LOJL (lesson only junior license)
b) I understand and agree to pay the annual membership fees** upon admission
c) I enclose herewith the $50.00 deposit (non-refundable) required with application; and
d) I acknowledge the following: In using the facilities and equipment of Newton Squash & Tennis Club (“NSTC”), member recognizes and acknowledges that there is a known risk of injury in the use of these facilities and
equipment. Member shall use such facilities and equipment and participate in NSTC activities in a responsible manner and in compliance with all NSTC rules and regulations, and will abide by NSTC’s By-Laws, and will
immediately report any injuries or accidents that may occur to him/her in, on, or about NSTC’s premises.
Application for Membership
NEWTON SQUASH & TENNIS CLUB
15 Chestnut Terrace, Newton, MA 02459
Primary Applicants Name*

First NameLast Name
Date of Birth*

MonthDayYear
US-Squash rating (if known)
USTA rating (if known)
Spouses Name

First NameLast Name
Date of Birth

MonthDayYear
US-Squash rating (if known)
USTA rating (if known)
Number of Children under 23 living at home
Name and ages of children under 23 living at home
age
Child 2 name
age
Child's name
age
Child's name
age
How did you hear about Newton Squash and Tennis?*
Profession / Occupation
Primary Applicant Cell Phone*

Area CodePhone Number
Spouse Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Primary Applicant E-mail*
Spouse E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary motivations for joining the club*

TennisSquashAdult Tennis LessonsAdult Squash LessonsYouth Tennis LessonsYouth Squash LessonsOther
Please describe, in a few sentences, who in your family you expect to make use of your membership, and what you hope to get out of your membership. Thank you!
*Subject to change at discretion of the Board of Governors of the Club. Does NOT apply to LOJL. Amount does not include annual membership fees, which are additional
** Annual membership fees for Regular Membership (as of 2020) = $1,890 / calendar year.
*** LOJL cost is %50 of Regular Membership for 1st child, 10% for each additional child. Age < 18. No court booking privileges

Membership dues are annual, and based on January 1 start. Mid-year dues based on pro-ration of annual:
- Jan 1-May 31, 100% - June 1-31, 87.5% - July 1-31, 75% - Aug 1-31, 62.5%
- Sept 1-30, 50% - Oct 1-31, 37.5% - Nov 1-30, 25% - Dec 1-31, 12.5% W
Signature*

Clear
Application Fee - Will be credited toward 1st year dues *

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USD(required to be put on waitlist)
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