2017 Season Pass Application

City of New Haven
Department of Parks, Recreation & Trees
720 Edgewood Avenue, New Haven, CT 06515, Phone 946-8027, Fax 946-8024
Toni N. Harp, Mayor
Rebecca Bombero, Director
DAVID R. BELOWSKY, PRESIDENT, BOARD OF PARK COMMISSIONERS
MARGARET G. PASTORE, PRESIDENT EMERITUS, BOARD OF PARK COMMISSIONERS
SEASON TICKET APPLICATION – 2017
Name: _______________________________________ D.O.B.: ___________________
Address: _____________________________________ Tel. #: ____________________
City: ________________________________________ Zip: _______________________
E-Mail Address___________________________________________________________
In accordance with the City of New Haven ordinance, the following definitions apply:
IN ORDER TO QUALIFY AS A RESIDENT: You must be a resident of the City of New
Haven or a resident of the Town of East Haven. Proper identification is required in the form
of a valid driver’s license and a current residential real estate tax bill to verify residency.
Three additional forms of identification may be required for those individuals who do not
have a valid driver’s license or residential real estate tax bill.
SENIOR: Is defined as any individual who is sixty-two years of age or older.
JUNIOR: Is defined as any individual who is seventeen years of age or younger.
FAMILY MEMBERSHIP: Limited to father and/or mother and any children seventeen years
of age or younger within the same family.
Resident
$600
[ ]
Non-Resident
$800
Resident Family $900 [ ]
Non-Res. Family
$1200 [ ]
Resident Senior $400
[ ]
Non-Res. Senior
$650
[ ]
Resident Junior $200
[ ]
Non-Res. Junior
$400
[ ]
Resident Family/One Parent
$800
[ ]
[ ]
I understand that the season pass is non-refundable and non-transferable, and allows for
unlimited golf for the 2017 golf season. I further understand that in addition to the annual fee
above, that I must register in the pro shop and pay the applicable greens fee surcharge prior to
every round of golf.
Applicant’s Signature ___________________________________________