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 ___________________________________________
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