Golf Membership Application Form

Title(Required)

Name(Required)

First Name Last Name

Known As

Membership Category(Required)

Telephone(Required)

Mobile(Required)

Email(Required)

Residential Address(Required)

Postal Address (if different)

Gender(Required)

Date of Birth(Required)

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

Home Club - If member of another club please indicate which Club is to be HOME Club

GOLF Link Number - Please state your current Golflink No. (or previous/expired number)

Current Handicap - If you have a current GA Handicap please indicate

Were you referred to Lane Cove Golf Club by a member? If yes, please name member.

Have you ever been suspended, refused membership or expelled from another golf or sporting club?(Required)

Yes

Declaration(Required)

I agree that if admitted I shall be bound by the rules, regulations and by-laws of the Club being in force at any time.

I acknowledge that all notices, including notification of the Club Annual General Meeting and distribution of Financial Accounts will be accepted by email.

I acknowledge that I will be subject to the Golf Australia Handicapping System and my handicap may be reviewed at the absolute discretion of the Board on the basis of any cards returned in any competition.

I have read and accepted the Club's Privacy Policy (available on the website of Lane Cove Golf Club 'Become a Member' page

Comments (if any)

Date of Application(Required)