Employer (spouse): __________________________________________ Type of Business: ___________________ Address: ___________________________________ City, State: ________________________ Zip: ___________ Phone: __________________ Occupation/Title: ____________________________ Dates: ___________________ Previous Employer(s) (provide dates): 1. ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ V. OTHER CLUB AFFILIATIONS: Please list affiliations with other private clubs of which you are now or have been a member. Indicate the address and period of membership in each. 1. ___________________________________________________________________________ 2. ___________________________________________________________________________ 3. ___________________________________________________________________________ What are your principal reasons for wishing to join the Albany Country Club: _____________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Have you been proposed or intend to pursue membership in another private club in the immediate Capital Region? If so, please identify: Club Name: __________________________________ Proposal Date: ___________ If invited to membership in the Albany Country Club, will you continue to seek or retain membership in the club listed above? ____ Yes _____ No Have you ever been refused membership, suspended, expelled, or requested to withdraw a proposal for membership in a private club or other membership organization? _____ Yes _____ No If you answered “yes” to the above questions, please explain: _____________________________________________ _____________________________________________________________________________________________ VI. AFFILIATIONS WITH SOCIAL, SERVICE, FRATERNAL AND PROFESSIONAL ORGANIZATIONS : Please list and indicate address and period of membership in each such organization: 1. ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ 3. ___________________________________________________________________________________________ CREDIT CARD INFORMATION: “I authorize Albany Country Club, Inc. permission to charge the credit card listed below for any dues or other charges that are more than thirty days in arrears as specified in the Club’s Constitution, Article VI Section 4”. Section4. A member whose dues or other charges are in arrears for thirty (30) days shall be notified in writing and if he/she fails to remit within thirty (30) days thereafter, he/she shall be expelled, subject however to reinstatement at the discretion of the Board of Governors upon payment of all arrearage. Credit Card Name: ______________________ Name on Card: __________________________ Card Number: _____________________________ Exp. Date: _________ 3 Digit Code: _____ Nominee Authorization to Disclose and Release Information: I hereby authorize the disclosure and release of information to Albany Country Club For the purposes of investigating my character, general reputation, personal characteristics, mode of living and financial condition. This may include obtaining an investigative consumer credit report and other personal back-ground information. I agree: Not to demand disclosure of any information obtained by the Club; To release the Club and others from claims resulting from information obtained; That submission of this or other nominee information and/or submission of any initiation fee or deposit does not constitute or convey any membership rights or privileges; If invited to membership to pay promptly all dues, fees, assessments and accounts for a period of one full year. I certify that, to the best of my knowledge, the foregoing information is correct. I understand that any misrepresentations shall be cause for denial of further consideration. Signature of Nominee: _______________________________________ Date: __________________ ALBANY COUNTRY CLUB MEMBERSHIP NOMINEE INFORMATION FORM FACILITIES GOLF: Our 18-Hole Championship golf course is designed to challenge the experienced golfer, yet welcome the novice or less skilled. Designed and built by Robert Trent Jones, the dean of American golf course architects, the course provides a fair and demanding test of golf from tee to green. A golf pro shop is on site, where you can choose from a variety of equipment options, as well as specially selected clothing and accessories. DINING: We offer one of the finest dining experiences in the Capital Region. Members and their guests can enjoy the relaxed yet elegant dining atmosphere of the Club while taking in the beautiful views. The Capital Grille Room is our exclusive member dining room. Our members can have a private dinner with their family, or socialize with other members. Our menus are designed by our award-winning staff and will accommodate any special requests. Members enjoy our comprehensive lunch and dinner services without any food and beverage minimums. BANQUETS: We regularly host meetings, luncheons, private social events, member functions, fundraisers, weddings and much more. Several rooms are available that can suit any of your needs. We will prepare superb cuisine to suit your group and event. Attentive staff will ensure service to exceed your expectations. TENNIS: The tennis facilities of the Albany Country Club are comprised of six outdoor, Har-tru clay surface courts, two of which are lighted for night play, a pro shop, office, restrooms and a covered porch where you can watch all the action. Two paddle tennis courts are available for use during the cooler months. Our experienced professionals offer group lessons and clinics for both juniors and adults. AQUATICS: The swimming pool facilities include the large main pool, with areas for lap swimming and diving, the “kiddie” pool, the Pool House with complete locker changing and restroom facilities, the pool snack bar featuring a complete menu of your favorite foods and beverages, and the children’s playground. 300 Wormer Road, Voorheesville, NY 12186 (518) 765-2851 Fax: (518) 765-3176 www.albanycc.cc Thank you for your interest in consideration for membership in the Albany Country Club. We ask that you provide us with the following information regarding yourself and your background. Completion and submission of this form does not confer any membership privileges or rights to use club facilities. All information will be considered personal and confidential beyond this first page. I. MEMBERSHIP: Type of membership desired: __________________________________________________ II. PERSONAL INFORMATION: Full Name: ____________________________________________________________ Home Address: ______________________________________________________ City, State: _____________________________________________ Zip: ___________ Home Phone: _________________________ Cell Phone:______________________ E-Mail Address: _____________________________ Spouses E-Mail ________________________ How long at this address: ___________Date of Birth: ______________ Marital Status: ____________ Spouse’s Name: _______________________________ Spouse’s Date of Birth: _________________ Children: Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ III. CLUB ASSOCIATION: List members of the Albany Country Club with whom you, or your spouse, are personally acquainted and/or names of relatives who are or have been members. 1. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ 2. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ 3. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ NAME OF PERSON SPONSORING YOU: _______________________________________ IV. EDUCATIONAL BACKGROUND: Institutions Attended and Degrees Obtained: 1. ____________________________________________________________________ 2. ____________________________________________________________________ 3. ____________________________________________________________________ IV. BUSINESS/PROFESSION: Employer (nominee): _________________________________ Type of Business: _________________ Address: _______________________________________ City, State: __________________________ Zip: _________________ Phone: _______________________________________________ Occupation/Title: ________________________________________________________ Date/Length of Employment: ______________________________________________ Previous Employer(s) (provide dates): 1. ____________________________________________________________________ 2. ____________________________________________________________________ 2015 MEMBERSHIP INITIATIVE (46 AND OLDER) GOLF INDIVIDUAL: Initiation: $2,000 2015 Monthly Dues: $591.67 Must be un-married; has privileges for full use of all facilities; golf, pool, tennis and clubhouse GOLF COUPLE: Initiation: $2,500 2015 Monthly Dues: $787.50 Married; both people have privileges for full use of all facilities; golf, pool, tennis and clubhouse. GOLF FAMILY : Initiation: $3,000 2015 Monthly Dues: $808.33 Married with children; all family members have full use of all facilities; golf, pool, tennis & clubhouse GOLF INDIVIDUAL/SPOUSE HOUSE: Initiation: $2,250 2015 Monthly Dues: $691.67 Married; member has full use of all facilities; golf, pool, tennis and clubhouse. Spouse has privileges of all facilities except golf. Spouse can only golf twice a month paying greens fees. GOLF INDIVIDUAL/FAMILY HOUSE: Initiation: $2,250 2015 Monthly Dues: $708.33 Married with children; member has full use of all facilities; golf, pool, tennis and clubhouse. Spouse has privileges of all facilities except golf. Spouse can only golf twice a month paying greens fees. Children have privileges for use of all facilities including golf. NON-RESIDENT MEMBER: Initiation Fee: $2,000 2015 Monthly Dues: 50% of current golf dues Members do not maintain a residence or place of business within 75 miles of the club, including rental. All of the following categories are non-voting members: HOUSE INDIVIDUAL: Initiation Fee: $1,500 2015 Monthly Dues: $300.00 Must be un-married; unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests. HOUSE COUPLE: Initiation Fee: $1,500 2015 Monthly Dues: $395.83 Married; both people have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests HOUSE FAMILY: Initiation Fee: $1,500 2015 Monthly Dues: $416.67 Married with children; all family members have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests. POOL INDIVIDUAL: Initiation Fee: $1,000 2015 Monthly Dues: $220.83 Must be un-married; may use pool and clubhouse only. POOL COUPLE: Initiation Fee: $1,000 2015 Monthly Dues: $300.00 Married; both people have the privilege of using pool and clubhouse only. POOL FAMILY: Initiation Fee: $1,000 2015 Monthly Dues: $316.67 Married with children. The whole family may use pool and clubhouse only. TENNIS INDIVIDUAL: Initiation Fee: $1,000 2015 Monthly Dues: $200.00 Must be un-married; may use tennis, paddle courts and *clubhouse only. TENNIS COUPLE: Initiation Fee: $1,000 2015 Monthly Dues: $237.50 Married; both people have the privilege of using tennis, paddle courts and clubhouse only. TENNIS FAMILY: Initiation Fee: $1,000 2015 Monthly Dues: $258.33 Married with children. The whole family may use tennis, paddle courts and clubhouse only. EXTRA GOLF PRIVILEGE: House, Pool and Tennis members may be invited as a guest of a golfing member once a month by paying the appropriate guest fees. SOCIAL INDIVIDUAL/SOCIAL COUPLE: Initiation Fee: $500 2015 Monthly Dues: $120.83 Married or un-married. Use of clubhouse only. SOCIAL FAMILY : Initiation Fee: $500 2015 Monthly Dues: $141.67 Married with children, use of clubhouse only. . Clubhouse privileges includes dining rooms and all member social events. C APITAL I MPROVEMENT F EE Every member in all categories will be charged a monthly Capital Improvement Fee of $25.00 All dues and initiation fees are subject to 8% New York State Sales Tax. AMENITIES FAMILY/CHILDREN PROGRAMS: Albany Country Club offers numerous children’s, family and junior events and programs. These amenities include Junior Golf, Junior Tennis, Interclub Swim Team, Children’s Summer Camp, Parent-Child Golf Tournaments, Movie Nights at the Pool, Summer Carnival, “Invite a Friend” Day at the Pool, Parent’s Night Out with Babysitting, Kids Sleepover, Family Easter Party, Independence Day Celebration and Fireworks, End of Summer Pool Party, Family Halloween Party, Santa Brunch, Gingerbread House Party and Family First Night. ACC SUMMER DAY CAMP: All day Summer Camp for children entering kindergarten through 12 years old begins the first Monday after school is out. The program runs Monday through Friday from 9:00 a.m. – 4:00 p.m., with extended care available, for nine weeks. Children will participate in golf, tennis, swim, group games, arts and crafts. COMPETITIVE TOURNAMENT SCHEDULE FOR GOLF AND TENNIS: With guest days, Interclubs and League events. JUNIOR GOLF PROGRAM: Albany Country Club’s Junior Golf Program is second to none, extending six weeks through the summer. Many kids spend the entire day going from swim team practice to junior golf, lunch, then tennis lessons and back to the pool for the afternoon. FORETEES TEE TIME AND EVENT RESERVATION SYSTEM: Schedule tee times or sign up for tournaments online through our ForeTees Reservation system. You can even do so from your smart phone through our Mobile APP! COMPREHENSIVE WEBSITE: Our newly redesigned website enables members to make dining and event reservations online, view billing statements and even pay bills online. There is also a full calendar, member directory and so much information to keep you up to date and informed. PREPAID DUES INCENTIVES: Many of our members enjoy prepaying their annual dues at the beginning of the year and taking advantage of incentives to do so in the form of greens passes or dining coupons. AWARD WINNING CULINARY TEAM: Our award winning culinary team prepares a variety of menus from casual fare to formal dinners, and special menus such as children’s, junior and gluten free. We also offer food and beverage at our Between Nines Café, and an elaborate pool snack bar menu second to none in our area. GOLF LEAGUES: Albany Country Club offers golfing members fun and camaraderie with several friendly and competitive golf leagues. TUESDAY MORNING 9-HOLE LADIES: This golf league is for novice and beginner women or women who would prefer to play only 9 holes. The league uses a shotgun tee off on Tuesday mornings at 9:00 a.m. Each week the golf pro shop makes the pairings and organizes some sort of fun event. TUESDAY MEN’S TNT LEAGUE: This evening golf league is for men who come out after work in the afternoon and early evening. The league features a team format with players of varying handicaps. Players in the league can tee off between 3:00 p.m. and 6:30 p.m. The golf pro shop will assist with making pairings. WEDNESDAY WOMEN’S EVENING LEAGUE: This league is for women of all levels and abilities who generally cannot participate in the morning leagues. This league features a team format with varying games each week. Players in this league can tee off between 2:00 pm. and 6:00 p.m. with the golf pro shop assisting in making the pairings. THURSDAY MORNING 18-HOLE LADIES: The women who belong to this league are generally intermediate golfers or better who have an 18-hole handicap. This league plays on Thursday mornings. The league uses a mix of shotguns and tee times beginning at 8:00 a.m. There will be different events each week with the golf pro shop providing the pairings. THURSDAY MORNING ROBS: The ROBs is a golf league of men 55 and over which has been in existence at Albany Country Club for over 30 years. Goodwill and camaraderie mixed with a periodic “good shot” are our stated objectives. In addition to the weekly competitive golf, punctuated by a social occasion or two, our golf season is highlighted by our home and away tournaments with Wolfert’s Roost ROBs. The league uses a shotgun start on Thursday mornings at either 8:30 a.m. or 9:00 a.m. and features an individual competition. Pairings are made by the golf pro shop on the day of the league. FRIDAY NIGHT TWILIGHT LEAGUE: This is a very informal league for couples or individuals of all abilities. Participants make up their own pairings and tee times. The golf pro shop comes up with simple games each week and announces the results while many people enjoy dinner after the golf. 2015 JUNIOR MEMBERSHIP INITIATIVE (45 AND UNDER) UP TO AGE 25 JR. GOLF INDIVIDUAL: Initiation Must be un-married; has $500 privileges for full use of 2015 Monthly facilities; golf, pool, tennis and Dues clubhouse. $166.67 JR. GOLF FAMILY: Married, with or without children; all family members have privileges for full use of facilities. golf, pool, tennis and clubhouse. UP TO AGE 25 Initiation $1,000 2015 Monthly Dues $300.00 AGE 26-30 AGE Initiation $500 2015 Monthly Dues $200.00 AGE Initiation $500 2015 Monthly Dues $250.00 26-30 AGE Initiation $1,000 2015 Monthly Dues $350.00 31-35 31-35 Initiation $1,000 2015 Monthly Dues $400.00 AGE 36-40 Initiation $750 2015 Monthly Dues $300.00 AGE 36-40 Initiation $1,500 2015 Monthly Dues $450.00 AGE 41-45 Initiation $1,000 2015 Monthly Dues $350.00 AGE 41-45 Initiation $2,000 2015 Monthly Dues $500.00 Members joining at age 45 will remain in this junior category for 3 years. Annual dues increases may apply. All of the following categories are non-voting members: ALL BUT GOLF INDIVIDUAL: Initiation Fee: $250 2015 Monthly Dues: $208.33 Must be un-married; unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for your guests. ALL BUT GOLF FAMILY: Initiation Fee: $500 2015 Monthly Dues: $291.67 Married; with or without children; all family members have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for your guests. POOL INDIVIDUAL: Initiation Fee: $100 2015 Monthly Dues: $83.33 Must be un-married; may use pool and clubhouse only. POOL FAMILY: Initiation Fee: $250 2015 Monthly Dues: $166.67 Married; with or without children; all family members have the privilege of using pool and clubhouse only. TENNIS INDIVIDUAL: Initiation Fee: $100 2015 Monthly Dues: $83.33 Must be un-married; may use tennis, paddle courts and clubhouse only. SOCIAL CLUBS AND ACTIVITIES: The Albany Country Club offers its members opportunities to get together with other members for group activities. SOCIAL CLUBS: Members organize the weekly or biweekly events, and the Club provides the space to meet. Current social clubs include Book Club, Mah Jongg, Duplicate Bridge, Mixed Bowling, Ladies Bowling League and Paddle Tennis. SOCIAL EVENTS: Albany Country Club hosts many events for adults such as our renowned Independence Day celebration and fireworks, wine nights, lobster nights, theme nights, end of the year pool party and many more. TENNIS FAMILY: Initiation Fee: $250 2015 Monthly: $125.00 Married; with or without children; all family members have the privilege of using tennis, paddle courts and clubhouse only. HIKING/WALKING/CROSS COUNTRY SKIING TRAILS: The grounds staff clears and maintains the walking/ski or snow shoe trails that wind throughout the entire property. The use of these facilities is for members only and is monitored closely to prevent non-members from trespassing on Club property. We ask that anyone wishing to utilize these trails register in the Club office and receive maps of the trails. Clubhouse privileges includes dining rooms and all member social events. EXTRA GOLF PRIVILEGE: Pool and Tennis members may be invited as a guest of a golfing member once a month by paying the appropriate guest fees. SOCIAL INDIVIDUAL/COUPLE: Initiation Fee: $100 Married or un-married. Use of clubhouse only. 2015 Monthly: $91.08 SOCIAL FAMILY: Initiation Fee: $250 2015 Dues: $106.33 Married; with children. Use of clubhouse only. C APITAL I MPROVEMENT F EE Every member in all categories will be charged a monthly Capital Improvement Fee of $25.00 All dues and initiation fees are subject to 8% New York State Sales Tax. GOLF LEAGUES: Albany Country Club offers golfing members fun and camaraderie with several friendly and competitive golf leagues. TUESDAY MORNING 9-HOLE LADIES: This golf league is for novice and beginner women or women who would prefer to play only 9 holes. The league uses a shotgun tee off on Tuesday mornings at 9:00 a.m. Each week the golf pro shop makes the pairings and organizes some sort of fun event. TUESDAY MEN’S TNT LEAGUE: This evening golf league is for men who come out after work in the afternoon and early evening. The league features a team format with players of varying handicaps. Players in the league can tee off between 3:00 p.m. and 6:30 p.m. The golf pro shop will assist with making pairings. WEDNESDAY WOMEN’S EVENING LEAGUE: This league is for women of all levels and abilities who generally cannot participate in the morning leagues. This league features a team format with varying games each week. Players in this league can tee off between 2:00 pm. and 6:00 p.m. with the golf pro shop assisting in making the pairings. THURSDAY MORNING 18-HOLE LADIES: The women who belong to this league are generally intermediate golfers or better who have an 18-hole handicap. This league plays on Thursday mornings. The league uses a mix of shotguns and tee times beginning at 8:00 a.m. There will be different events each week with the golf pro shop providing the pairings. THURSDAY MORNING ROBS: The ROBs is a golf league of men 55 and over which has been in existence at Albany Country Club for over 30 years. Goodwill and camaraderie mixed with a periodic “good shot” are our stated objectives. In addition to the weekly competitive golf, punctuated by a social occasion or two, our golf season is highlighted by our home and away tournaments with Wolfert’s Roost ROBs. The league uses a shotgun start on Thursday mornings at either 8:30 a.m. or 9:00 a.m. and features an individual competition. Pairings are made by the golf pro shop on the day of the league. FRIDAY NIGHT TWILIGHT LEAGUE: This is a very informal league for couples or individuals of all abilities. Participants make up their own pairings and tee times. The golf pro shop comes up with simple games each week and announces the results while many people enjoy dinner after the golf. 2015 JUNIOR MEMBERSHIP PROGRAM (45 AND UNDER) UP TO AGE 25 JR. GOLF INDIVIDUAL: Initiation Must be un-married; has $500 privileges for full use of 2015 Monthly facilities; golf, pool, tennis and Dues clubhouse. $166.67 JR. GOLF FAMILY: Married, with or without children; all family members have privileges for full use of facilities. golf, pool, tennis and clubhouse. UP TO AGE 25 Initiation $1,000 2015 Monthly Dues $300.00 AGE 26-30 AGE Initiation $500 2015 Monthly Dues $200.00 AGE Initiation $500 2015 Monthly Dues $250.00 26-30 AGE Initiation $1,000 2015 Monthly Dues $350.00 31-35 31-35 Initiation $1,000 2015 Monthly Dues $400.00 AGE 36-40 Initiation $750 2015 Monthly Dues $300.00 AGE 36-40 Initiation $1,500 2015 Monthly Dues $450.00 AGE 41-45 Initiation $1,000 2015 Monthly Dues $350.00 AGE 41-45 Initiation $2,000 2015 Monthly Dues $500.00 Members joining at age 45 will remain in this junior category for 3 years. Annual dues increases may apply. All of the following categories are non-voting members: ALL BUT GOLF INDIVIDUAL: Initiation Fee: $250 2015 Monthly Dues: $208.33 Must be un-married; unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for your guests. ALL BUT GOLF FAMILY: Initiation Fee: $500 2015 Monthly Dues: $291.67 Married; with or without children; all family members have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for your guests. POOL INDIVIDUAL: Initiation Fee: $100 2015 Monthly Dues: $83.33 Must be un-married; may use pool and clubhouse only. POOL FAMILY: Initiation Fee: $250 2015 Monthly Dues: $166.67 Married; with or without children; all family members have the privilege of using pool and clubhouse only. TENNIS INDIVIDUAL: Initiation Fee: $100 2015 Monthly Dues: $83.33 Must be un-married; may use tennis, paddle courts and clubhouse only. SOCIAL CLUBS AND ACTIVITIES: The Albany Country Club offers its members opportunities to get together with other members for group activities. SOCIAL CLUBS: Members organize the weekly or biweekly events, and the Club provides the space to meet. Current social clubs include Book Club, Mah Jongg, Duplicate Bridge, Mixed Bowling, Ladies Bowling League and Paddle Tennis. SOCIAL EVENTS: Albany Country Club hosts many events for adults such as our renowned Independence Day celebration and fireworks, wine nights, lobster nights, theme nights, end of the year pool party and many more. TENNIS FAMILY: Initiation Fee: $250 2015 Monthly: $125.00 Married; with or without children; all family members have the privilege of using tennis, paddle courts and clubhouse only. HIKING/WALKING/CROSS COUNTRY SKIING TRAILS: The grounds staff clears and maintains the walking/ski or snow shoe trails that wind throughout the entire property. The use of these facilities is for members only and is monitored closely to prevent non-members from trespassing on Club property. We ask that anyone wishing to utilize these trails register in the Club office and receive maps of the trails. Clubhouse privileges includes dining rooms and all member social events. EXTRA GOLF PRIVILEGE: Pool and Tennis members may be invited as a guest of a golfing member once a month by paying the appropriate guest fees. SOCIAL INDIVIDUAL/COUPLE: Initiation Fee: $100 Married or un-married. Use of clubhouse only. 2015 Monthly: $91.08 SOCIAL FAMILY: Initiation Fee: $250 2015 Dues: $106.33 Married; with children. Use of clubhouse only. C APITAL I MPROVEMENT F EE Every member in all categories will be charged a monthly Capital Improvement Fee of $25.00 All dues and initiation fees are subject to 8% New York State Sales Tax. 2015 MEMBERSHIP PROGRAM (46 AND OLDER) GOLF INDIVIDUAL: Initiation: $1,500 2015 Monthly Dues: $453.58 Must be un-married; has privileges for full use of all facilities; golf, pool, tennis and clubhouse GOLF COUPLE: Initiation: $2,000 2015 Monthly Dues: $605.92 Married; both people have privileges for full use of all facilities; golf, pool, tennis and clubhouse. GOLF FAMILY : Initiation: $2,000 2015 Monthly Dues: $621.25 Married with children; all family members have full use of all facilities; golf, pool, tennis & clubhouse GOLF INDIVIDUAL/SPOUSE HOUSE: Initiation: $2,000 2015 Monthly Dues: $529.75 Married; member has full use of all facilities; golf, pool, tennis and clubhouse. Spouse has privileges of all facilities except golf. Spouse can only golf twice a month paying greens fees. GOLF INDIVIDUAL/FAMILY HOUSE: Initiation: $2,000 2015 Monthly Dues: $545.00 Married with children; member has full use of all facilities; golf, pool, tennis and clubhouse. Spouse has privileges of all facilities except golf. Spouse can only golf twice a month paying greens fees. Children have privileges for use of all facilities including golf. NON-RESIDENT MEMBER: Initiation Fee: $1,000 2015 Monthly Dues: 50% of current golf dues Members do not maintain a residence or place of business within 75 miles of the club, including rental. All of the following categories are non-voting members: HOUSE INDIVIDUAL: Initiation Fee: $1,000 2015 Monthly Dues: $228.25 Must be un-married; unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests. HOUSE COUPLE: Initiation Fee: $1,500 2015 Monthly Dues: $304.50 Married; both people have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests HOUSE FAMILY: Initiation Fee: $1,500 2015 Monthly Dues: $319.75 Married with children; all family members have unlimited use of clubhouse, pool and tennis. Golf facilities may be enjoyed twice per month, including invited guests, by paying appropriate guests fees for yourself and your guests. POOL INDIVIDUAL: Initiation Fee: $1,000 2015 Monthly Dues: $167.25 Must be un-married; may use pool and clubhouse only. POOL COUPLE: Initiation Fee: $1,000 2015 Monthly Dues: $228.25 Married; both people have the privilege of using pool and clubhouse only. POOL FAMILY: Initiation Fee: $1,000 2015 Monthly Dues: $243.58 Married with children. The whole family may use pool and clubhouse only. TENNIS INDIVIDUAL: Initiation Fee: $1,000 2015 Monthly Dues: $152.08 Must be un-married; may use tennis, paddle courts and *clubhouse only. TENNIS COUPLE: Initiation Fee: $1,000 2015 Monthly Dues: $182.58 Married; both people have the privilege of using tennis, paddle courts and clubhouse only. TENNIS FAMILY: Initiation Fee: $1,000 2015 Monthly Dues: $197.75 Married with children. The whole family may use tennis, paddle courts and clubhouse only. EXTRA GOLF PRIVILEGE: House, Pool and Tennis members may be invited as a guest of a golfing member once a month by paying the appropriate guest fees. SOCIAL INDIVIDUAL/SOCIAL COUPLE: Initiation Fee: $500 2015 Monthly Dues: $91.08 Married or un-married. Use of clubhouse only. SOCIAL FAMILY : Initiation Fee: $500 2015 Monthly Dues: $106.33 Married with children, use of clubhouse only. . Clubhouse privileges includes dining rooms and all member social events. C APITAL I MPROVEMENT F EE Every member in all categories will be charged a monthly Capital Improvement Fee of $25.00 All dues and initiation fees are subject to 8% New York State Sales Tax. AMENITIES FAMILY/CHILDREN PROGRAMS: Albany Country Club offers numerous children’s, family and junior events and programs. These amenities include Junior Golf, Junior Tennis, Interclub Swim Team, Children’s Summer Camp, Parent-Child Golf Tournaments, Movie Nights at the Pool, Summer Carnival, “Invite a Friend” Day at the Pool, Parent’s Night Out with Babysitting, Kids Sleepover, Family Easter Party, Independence Day Celebration and Fireworks, End of Summer Pool Party, Family Halloween Party, Santa Brunch, Gingerbread House Party and Family First Night. ACC SUMMER DAY CAMP: All day Summer Camp for children entering kindergarten through 12 years old begins the first Monday after school is out. The program runs Monday through Friday from 9:00 a.m. – 4:00 p.m., with extended care available, for nine weeks. Children will participate in golf, tennis, swim, group games, arts and crafts. COMPETITIVE TOURNAMENT SCHEDULE FOR GOLF AND TENNIS: With guest days, Interclubs and League events. JUNIOR GOLF PROGRAM: Albany Country Club’s Junior Golf Program is second to none, extending six weeks through the summer. Many kids spend the entire day going from swim team practice to junior golf, lunch, then tennis lessons and back to the pool for the afternoon. FORETEES TEE TIME AND EVENT RESERVATION SYSTEM: Schedule tee times or sign up for tournaments online through our ForeTees Reservation system. You can even do so from your smart phone through our Mobile APP! COMPREHENSIVE WEBSITE: Our newly redesigned website enables members to make dining and event reservations online, view billing statements and even pay bills online. There is also a full calendar, member directory and so much information to keep you up to date and informed. PREPAID DUES INCENTIVES: Many of our members enjoy prepaying their annual dues at the beginning of the year and taking advantage of incentives to do so in the form of greens passes or dining coupons. AWARD WINNING CULINARY TEAM: Our award winning culinary team prepares a variety of menus from casual fare to formal dinners, and special menus such as children’s, junior and gluten free. We also offer food and beverage at our Between Nines Café, and an elaborate pool snack bar menu second to none in our area. ALBANY COUNTRY CLUB MEMBERSHIP NOMINEE INFORMATION FORM FACILITIES GOLF: Our 18-Hole Championship golf course is designed to challenge the experienced golfer, yet welcome the novice or less skilled. Designed and built by Robert Trent Jones, the dean of American golf course architects, the course provides a fair and demanding test of golf from tee to green. A golf pro shop is on site, where you can choose from a variety of equipment options, as well as specially selected clothing and accessories. DINING: We offer one of the finest dining experiences in the Capital Region. Members and their guests can enjoy the relaxed yet elegant dining atmosphere of the Club while taking in the beautiful views. The Capital Grille Room is our exclusive member dining room. Our members can have a private dinner with their family, or socialize with other members. Our menus are designed by our award-winning staff and will accommodate any special requests. Members enjoy our comprehensive lunch and dinner services without any food and beverage minimums. BANQUETS: We regularly host meetings, luncheons, private social events, member functions, fundraisers, weddings and much more. Several rooms are available that can suit any of your needs. We will prepare superb cuisine to suit your group and event. Attentive staff will ensure service to exceed your expectations. TENNIS: The tennis facilities of the Albany Country Club are comprised of six outdoor, Har-tru clay surface courts, two of which are lighted for night play, a pro shop, office, restrooms and a covered porch where you can watch all the action. Two paddle tennis courts are available for use during the cooler months. Our experienced professionals offer group lessons and clinics for both juniors and adults. AQUATICS: The swimming pool facilities include the large main pool, with areas for lap swimming and diving, the “kiddie” pool, the Pool House with complete locker changing and restroom facilities, the pool snack bar featuring a complete menu of your favorite foods and beverages, and the children’s playground. 300 Wormer Road, Voorheesville, NY 12186 (518) 765-2851 Fax: (518) 765-3176 www.albanycc.cc Thank you for your interest in consideration for membership in the Albany Country Club. We ask that you provide us with the following information regarding yourself and your background. Completion and submission of this form does not confer any membership privileges or rights to use club facilities. All information will be considered personal and confidential beyond this first page. I. MEMBERSHIP: Type of membership desired: __________________________________________________ II. PERSONAL INFORMATION: Full Name: ____________________________________________________________ Home Address: ______________________________________________________ City, State: _____________________________________________ Zip: ___________ Home Phone: _________________________ Cell Phone:______________________ E-Mail Address: _____________________________ Spouses E-Mail ________________________ How long at this address: ___________Date of Birth: ______________ Marital Status: ____________ Spouse’s Name: _______________________________ Spouse’s Date of Birth: _________________ Children: Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ Name: ____________________________________ Date of Birth: _________________ III. CLUB ASSOCIATION: List members of the Albany Country Club with whom you, or your spouse, are personally acquainted and/or names of relatives who are or have been members. 1. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ 2. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ 3. Name: __________________________________Relationship: ___________________ Address: ______________________________________________________________ NAME OF PERSON SPONSORING YOU: _______________________________________ IV. EDUCATIONAL BACKGROUND: Institutions Attended and Degrees Obtained: 1. ____________________________________________________________________ 2. ____________________________________________________________________ 3. ____________________________________________________________________ IV. BUSINESS/PROFESSION: Employer (nominee): _________________________________ Type of Business: _________________ Address: _______________________________________ City, State: __________________________ Zip: _________________ Phone: _______________________________________________ Occupation/Title: ________________________________________________________ Date/Length of Employment: ______________________________________________ Previous Employer(s) (provide dates): 1. ____________________________________________________________________ 2. ____________________________________________________________________ Employer (spouse): __________________________________________ Type of Business: ___________________ Address: ___________________________________ City, State: ________________________ Zip: ___________ Phone: __________________ Occupation/Title: ____________________________ Dates: ___________________ Previous Employer(s) (provide dates): 1. ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ V. OTHER CLUB AFFILIATIONS: Please list affiliations with other private clubs of which you are now or have been a member. Indicate the address and period of membership in each. 1. ___________________________________________________________________________ 2. ___________________________________________________________________________ 3. ___________________________________________________________________________ What are your principal reasons for wishing to join the Albany Country Club: _____________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Have you been proposed or intend to pursue membership in another private club in the immediate Capital Region? If so, please identify: Club Name: __________________________________ Proposal Date: ___________ If invited to membership in the Albany Country Club, will you continue to seek or retain membership in the club listed above? ____ Yes _____ No Have you ever been refused membership, suspended, expelled, or requested to withdraw a proposal for membership in a private club or other membership organization? _____ Yes _____ No If you answered “yes” to the above questions, please explain: _____________________________________________ _____________________________________________________________________________________________ VI. AFFILIATIONS WITH SOCIAL, SERVICE, FRATERNAL AND PROFESSIONAL ORGANIZATIONS : Please list and indicate address and period of membership in each such organization: 1. ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ 3. ___________________________________________________________________________________________ CREDIT CARD INFORMATION: “I authorize Albany Country Club, Inc. permission to charge the credit card listed below for any dues or other charges that are more than thirty days in arrears as specified in the Club’s Constitution, Article VI Section 4”. Section4. A member whose dues or other charges are in arrears for thirty (30) days shall be notified in writing and if he/she fails to remit within thirty (30) days thereafter, he/she shall be expelled, subject however to reinstatement at the discretion of the Board of Governors upon payment of all arrearage. Credit Card Name: ______________________ Name on Card: __________________________ Card Number: _____________________________ Exp. Date: _________ 3 Digit Code: _____ Nominee Authorization to Disclose and Release Information: I hereby authorize the disclosure and release of information to Albany Country Club For the purposes of investigating my character, general reputation, personal characteristics, mode of living and financial condition. This may include obtaining an investigative consumer credit report and other personal back-ground information. I agree: Not to demand disclosure of any information obtained by the Club; To release the Club and others from claims resulting from information obtained; That submission of this or other nominee information and/or submission of any initiation fee or deposit does not constitute or convey any membership rights or privileges; If invited to membership to pay promptly all dues, fees, assessments and accounts for a period of one full year. I certify that, to the best of my knowledge, the foregoing information is correct. I understand that any misrepresentations shall be cause for denial of further consideration. Signature of Nominee: _______________________________________ Date: __________________
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