PLAYER CARD APPLICATION
(Check one)
[ ] Renewal #__________ , Is my current Player Card number.
[ ] New Application
CARD TYPE: (Check one)
See other side for details on card types and rates
[ ] Annual
Mail completed application form with payment to:
Tennis Memphis Office
4145 Southern Ave.
Memphis, TN 38117
If paying by credit card, forms can be emailed to:
[email protected]
Good for one year from the date of purchase
[ ] Indoor Seasonal
For Player Card information, contact
Nancy Hixson in the tennis office at 374-0603
Email: [email protected]
Website: tennismemphis.org
August 15, 2016 to April 30, 2017
APPLICANT(S) INFORMATION:
Name:
________
[ ] Male
[ ] Female Date of Birth ____ - ____ - ______
Address ___________________________________________________ City _______________ State ____ Zip __________
Phone: Cell ______________________________ Work ______________________ Home ______________________
Email address
___
Complete the following for Family Player Cards:
Spouse’s Name ____________________________ Date of Birth ____ - ____ - ______
Spouse’s Email ___________________________________________ Phone: Cell _______________Work _____________
Name(s) of Child(ren)
____________________________ Age _______ Date of Birth ___- ____- ___
___________________________ Age _______ Date of Birth ___- ____- ___
___________________________ Age _______ Date of Birth ___- ____- ___
PAYMENT INFORMATION:
Amount: $ ________
[ ] Cash Check # _____ Payable to: Tennis Memphis Credit Card Type: [ ]VISA [ ]MC [ ]AMEX [ ]DISC
Credit Card #__________________________________________ Expiration Date:_____/______
v- code _______
Signature of Cardholder_______________________________________________
RELEASE/WAIVER:
I, the undersigned, intending to be legally bound, do hereby for myself, family, guardians, child/children, heirs, executors and administrators, waive
and release any and all rights and claims for damages which I/We may have against the City of Memphis and/or Tennis Memphis, Inc, their
successors, board and employees for any injuries or losses which I/We may suffer in connection with our Tennis Memphis, Inc. Player Card at the
MPTC.. I/We understand that this Player Card is non-transferable and non-refundable; the use of this Player Card by anyone other than the
cardholder will result in the Player Card being automatically revoked. During programs, tournaments, summer clinics, special events, cardholders
and the public may not be able to use the tennis facilities during these events. I have read the above and agree to comply with the rules and
regulations established by Tennis Memphis. Player Card may be revoked for violation of MPTC rules and policies
Signature ____________________________________________________________ Date __________________
(Parent/Guardian Signature Required for Applicants under 18)
PLAYER CARD TYPES AND RATES
PLAYER CARD DEFINITIONS:
Annual
Good for one year from the date of purchase
ADULT: A person 19-49 years old
SENIOR: A person 50 years old or older
Adult
Senior
Junior
Family
Resident Rate
$120
$70
$45
$220
Non-resident Rate
$150
$82
$60
$275
JUNIOR: A person18 years old or younger
FAMILY: Includes 2 or more adults related by blood
or marriage and their children or grandchildren ages 18&
under
RESIDENT: Lives within city limits of Memphis, TN
NON-RESIDENT: Lives outside the city limits of Memphis, TN
Indoor Seasonal
Good from August 15, 2016 to April 30, 2017
Adult
Senior
Junior
Family
Resident Rate
$100
$64
$40
$200
OFFICE USE ONLY
Non-resident Rate
$125
$75
$54
$235
Payment $_______ [ ] Cash
PLAYER CARD BENEFITS:

Reserve Permanent Court Time (PCT)

Outdoor court time at no charge
o Includes USTA Adult League Team play

Reserve court time up to five (5) days in advance
PLAYER CARD INFORMATION

A Player Card is NOT a membership card. The City of
Memphis tennis centers are open to the public and
there are no memberships at Tennis Memphis.

Purchase of a Player card is optional and NOT
required to play tennis, reserve courts, or participate
in programs at the tennis centers. (exception:
Permanent Court Time reservations)

Purchase of a Player Card is required for reserving
Permanent Court Time and receiving the reduced
PCT court rate (not a requirement for the occasional
substitute player)

Player Cards are accepted at Tennis Memphis tennis
centers. Visit tennismemphis.org for list of tennis
centers

Teaching Pros are NOT allowed to purchase a Player
Card (See Tennis Memphis Commercial Teaching Pro
Policy)

Player Card fees will NOT be prorated
Ck # ________
[ ] Visa [ ] MasterCard [ ] AmEx [ ] Disc

New PC # Assigned __________ by __________ on _________

New Expiration Date Assigned ____________ by _______ on __________

TS update completed on __________ by ______
Card mailed on __________ by ______