Women's Introductory Programme Application Form

When did you completed the Women's 4 Week Beginner Clinic? Please specify the Month and Year.*
Completion of the 4-week beginner clinic is required to join the Women's Introductory Program.
Title*

MissMrsMsOther
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.
How did you hear about us?*

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

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