Casual Course Access Application Form

Title*

MrMissMsMrs
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Email*
example@example.com
Mobile Number*
Address*

Street Address

SuburbState

Post Code
Occupation*
Company*
Emergency Contact Name*
Emergency Contact Number*
Do you know any members at Kooringal? If yes, please list them below.
Agree to the terms and conditions of joining Kooringal Golf Club*

I agree I am bound by the Club’s Constitution and accept all terms and conditions of being a member of Kooringal Golf Club, including its rules and policies.I agree to have my name, phone number and email address displayed in the members directory, which can only be used for organising golf or social activities amongst members. In addition, I allow the Club to use my contact details to send me golf club related newsletters and information.
Tick the box that is applicable to you*

I am new to golfI am a novice golfer (under 2 years experience)I am an experienced golfer
How did you hear about us?*

Club websiteWord of MouthFacebookInstagramPrevious MemberGoogleOther
Terms and Conditions and Signature of Candidate*

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