IN CLUB GOLF
INDIVIDUAL MEMBERSHIP APPLICATION
APPLICANT INFORMATION
Name:
Current address:
City:
State:
ZIP Code:
City:
State:
ZIP Code:
Home Phone
Business Phone:
Cell Phone:
Billing address:
EMERGENCY CONTACT
Name of a relative not residing with you:
Address:
Phone:
City:
State:
ZIP Code:
Relationship:
SPOUSE INFORMATION IF JOINT MEMBERSHIP
Name:
Current address if different from above:
City:
State:
ZIP Code:
BANK REFERENCES, BILLING INFORMATION
Bank Name and Address:
City:
State:
ZIP Code:
MEMBERSHIP TYPE - SELECT ONE
o
Individual Membership
$75 / Month
o
Individual + Spouse:
$125 / Month
o
Individual + Junior (under 18)
$125 / Month
o
Individual + Spouse + Junior (under 18)
$175 / Month
GOLF INFORMATION
What is your current golf level or ability? Never played
Beginner
Intermediate
Advanced
If currently a golfer – how long have you been golfing?
Approximately how many rounds do you play in a season?
____ 18 hole rnds
Do you belong to a golf club / country club? NO
YES – which club?
Do you belong to a fitness club?
NO
YES – which club?
Do you have a USGA Handicap?
NO
YES – what is your Index?
What is your primary goal / issue for your golf game right now?
What are your long-term golf goals?
_____ 9 hole rnds
Membership Agreement:
I, the undersigned applicant, understand that the following terms and conditions are binding
upon my membership.
a. The application is required to pay an Initiation Fee of $ _____ which is due and owning
separate from the monthly membership dues provided below.
b. The applicant elects to purchase a membership commencing on ____ and to pay the
required monthly dues of $___ .
c. The applicant understands that monthly dues are to be paid via electronic transfer from
either their bank account or charged to a credit / debit card on file.
d. The applicant understands that a 30 day written notice is required to cancel membership.
Therefore, once membership cancellation is required, the member will continue to be
charged one subsequent month, and will have access to all services and facilities until
the membership has lapsed.
e. I understand that I have the right to cancel my membership and receive a refund of
initiation and any initial month’s fee within 5 days of entering into this agreement.
f. LATE CHARGE: The member agrees that monthly dues not paid by the 1st of the month
are subject to a $20 late fee. A charge of $50 will be made if your bank notifies us of
insufficient funds when monthly dues are charged.
g. Applicant agrees that in attending and using the InClubGolf facilities and equipment the
applicant does so at his / her own risk. InClubGolf shall not be liable for any damages
arising from personal injuries sustained by Applicant or for property damages in, or,
about the premises. Applicant assumes full responsibility for any injury or damage which
may occur and agrees to indemnity InClubGolf for any action which may be brought as a
result of any injury which may occur to Applicant in, on, or around the premises.
Applicant agrees to fully and forever release and discharge InClubGolf and all its
associated agents, employees and owners from any and all claims, demands, damages,
rights of action, past present, or future, whether the same be known or unknown,
anticipated or unanticipated, resulting from or arising out of the Applicant’s use or
intended use of the facilities and equipment therein. In the event either party resorts to
legal action in regards to this agreement, the successful party shall be entitled to their
reasonable attorney’s fee, court costs, and interest at the rate of one and one half
percent (1 ½) per month upon the unpaid balance of the judgement.
I further acknowledge and agree that my membership is subject to all InClubGolf rules and
regulations and that failure to comply with these can result in the termination of my membership
by InClubGolf.
Applicant’s Signature:
______________________________________
Co-Applicant Signature: ______________________________________
Date:
____________________