Membership Application Form

Membership Application

I hereby make application to Winnapaug Country Club, LLC (The Club) to become a Seasonal Club Member for the 2025 Golf Season and agree to abide by the Rules of The Club as they may be amended as the ownership deems necessary. I understand that I am assuming the liability for the payment of all applicable membership dues/ charges incurred by me, my family, and my guests in the use of The Club. Please note: All applications shall be reviewed by Winnapaug Country Club, LLC and prospective members will be notified of their acceptance. In the event the applicant is not approved for membership, any deposits (if applicable) submitted with this application shall be promptly refunded, without interest.
Name*

First NameLast Name
Spouse's Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Spouse's E-mail
example@example.com
Cellular Number*
Spouse's Cellular Number
Membership Type
prevnext( X )
Single 7 Day
$3,000



Husband/Wife Weekday
$2,800



Husband/Wife 7 Day
$3,500



Family 7 Day
$4,000



Single Weekday
$2,000



Family Weekday
$3,000
Single 7 Day, Family 7 Day, and Junior Memberships
- Preferred tee times will be available for booking by a member, during the Golf Season
- Tee times must be cancelled 72 hours in advance of the time booked. Failure to cancel a tee time or to not show up for a tee time will result in the member being charged the public rate for the number of tee times booked
- There will be certain days and/or times when Tournaments take priority over Member preferred times
- There will be certain days/times when Golf Carts will be mandatory for Members to take to maintain pace of play
- All Memberships are provided 10 Complimentary Golf Carts as part of the membership
- All players must check-in to the Pro-Shop prior to entering the Golf Course
Single Weekday and Family Weekday
- Preferred tee times will be available for booking by a member, during the Golf Season
- Tee times must be cancelled 72 hours in advance of the time booked. Failure to cancel a tee time or to not show up for a tee time will result in the member being charged the public rate for the number of tee times booked
- There will be certain days and/or times when Tournaments take priority over Member preferred times
- There will be certain days/times when Golf Carts will be mandatory for Members to take to maintain pace of play
- All players must check-in to the Pro-Shop prior to entering the Golf Course
Payment of Dues, Fees, and Charges
- I acknowledge that the term of this agreement shall commence on the date of approval of my application through the Thanksgiving holiday weekend, weather permitting
- I agree to be responsible for payment of all dues, fees and charges for food, beverages, merchandise, and services incurred by myself, my family members and my guests. Any items not paid for in cash will be charged to my credit card
- I agree that I am required to keep an active credit card on file with The Club and will promptly update this information with The Club when this information has changed. Seasonal Membership privileges may be suspended until valid credit card information has been provided
Billing Address*

Use the address above.I want to specify a different billing address.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Method of Payment

Credit CardBank TransferCheckCash
Payment by Credit Card will incur a 4% processing fee*

I acknowledge
Golf Course Sustainability: Winnapaug Golf Course was designed and built by Donald Ross in 1922. It continues to be our goal to develop and maintain an 18-Hole Golf Course that is economically and environmentally sustainable for the next 100 years. Modifications to the course and strategic development on sections of the property will enable the course to survive and thrive. As a member I agree to both embrace and support these changes and not interfere with the development process. By signing this membership application, I agree that I will not sign any petition in opposition to any development on the golf course properties or related properties, nor shall I speak in opposition to any such development. I understand that if my name is on such a petition or I speak against such development, then I will be terminated as a member without refund of any membership payments. I also understand that I will not have access to the golf course as a non-member golfer.*

I acknowledge
Eligibility Statement: I represent that I have full capacity and authority to make this application, to subscribe to the annual Club membership and I, and any person provided golf privileges under my seasonal membership, shall comply with all rules, duties and obligations attendant to Club membership.*

I acknowledge
Date of Signature*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty: