Join EPTC

Thank you for interest in EPTC.

Please fill out the application form, Application for New Membership EPTC 2018-19, and mail it to:

EPTC 
P.O. Box 712
Essex, CT 06426

Or complete and submit this online form:

Apply Online

* indicates required field

Adult 1 Name*

     Adult 1 Email*

     Adult 1 Cell Phone*

     Adult 1 Date of Birth*

Adult 2 (if applicable)

     Adult 2 Email

     Adult 2 Cell Phone

     Adult 2 Date of Birth*

Mailing Address:

Street*

City*

State*

Zip*

Additional Family Members

1 Name & Age

2 Name & Age

3 Name & Age

Sponsor

Name of EPTC member sponsoring your membership*:

Skill Level:

Will you be joining a League? Is so, which one(s):

Membership Process:

o Once your application is approved, you will be contacted by email. Payment is due within 30 days
o $465.00 Family Membership (includes all family members living at home)
o $232.50 Junior Membership (single or partners, 30 and under as of October 1st)
o $75.00 Men’s League ($40 Balls + $35 APTA Membership)
o $20.00 Women’s League ($15 Balls. $35 APTA Membership Optional)
o The Club is a Non-Profit Member Ran Club with 54 Shares Outstanding. Purchasing a share provides voting rights, ownership and discounted yearly dues. Currently, the Family Membership Shareholder Annual Dues is $302.25 and the Share is $1,200. If this is an interest, you must inform the club.

Waiver of liability:

I/we hereby agree to release and hold harmless the Essex Paddle Tennis Club, its employees, Board of Directors, attorneys and successors, assignees and their respective representative from any and all claims arising out of my/our participation at Essex Platform Tennis Club. Further I/we release and discharge the club from any and all liability for any loss, or theft or damage to personal property. I/we acknowledge that I/we have carefully read this waiver and release and I/we fully understand that it is a waiver and release of liability and I/we assume any and all risk associated with my participation at the Essex Paddle Tennis Club. Furthermore I/we agree to the terms and conditions of the entry, registration, and membership forms.

Signature* (entering your name constitutes your legal signature):

Date*