Application Form

There is a Waitlist ($50 fee applies) for some playing categories, please check with the office via email office@northrydegolfclub.com.au for full details.

Title*

Name*

First Last

Preferred Name*

Date of Birth*

Address*

Street Address Suburb State / Province / Region ZIP / Postal Code Country

Mailing Address

If different to residential

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone*

Email*

Occupation*

Emergency Contact Name*

Relationship*

Emergence Phone Contact*

Membership Details

Membership Category*

Have you ever been refused membership or had your membership withdrawn from a club?*

Yes
No

Reason for Joining*

What prompted your application today?*

Golfing Details

Name of previous club

Current Handicap

Golflink No.

Home Club

Nominator Name

Nominator Number

Seconder Name

Seconder Number

If elected to membership, I hereby agree to abide by the Constitution of the Club in force at present or may be decreed in the future by the Board of Directors*

I Agree
I Disagree

Please contact the club.

Comments

This field is for validation purposes and should be left unchanged.

Membership