Scrabo Golf Club Application for Membership

Scrabo Golf Club

Membership Application Form
Name of Applicant*

PrefixFirst NameLast Name
DOB*

DayMonthYear
Date
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry
Tel Number*
Mobile Number*
Membership Type*
Are you related to an existing member of the Club

YesNo
If 'yes' please state name of member
Relationship to member
Are you currently a member of another Golf Club

YesNo
If 'yes' please state Club name and Handicap
Golf Ireland number*
Enter non-applicable (n/a) if required. Previous Golf Ireland number required to assist with transferring handicap. Handicap must be valid within last 12 months.
Have you been a member of another Golf Club

YesNo
If a member of more than one Golf Club , please state selected Home Club*
Are you leaving your current Club

YesNo
Reason for leaving
Enter non-applicable (n/a) if required.
Current Occupation
Job Title
Employer Address
References - Should council consider it necessary to take up references from any party under strict confidentiality. Do we have your permission?

YesNo
1st and 2nd Proposers
We, the undersigned, being active adult Members of Scrabo Golf Club, nominate the named Candidate for membership in the category applied for and confirm the Candidate to be known to us and consider them a fit and proper person to be awarded membership at this Club.
1st Proposer*
In what context does Proposer know Applicant and for how many years?*
Seconder*
In what context does Proposer know Applicant and for how many years?*
A copy of our Club Rules, Privacy policy and Dress code are available from our website - http://www.scrabogolfclubni.com/
Payment Methods available

Premium Credit facilityCash/Cheque (please make payable to Scrabo Golf Club)BACS (ACC Number: 22562151 SORTCODE: 90-23-46)
Applicants Declaration
I the undersigned, declare the information given above to be true and complete to the best of my knowledge and belief. Should my application be successful, I shall make payment of all the monetary requests upon demand and willingly agree to abide by the Club rules and by-laws of Scrabo Golf Club. (A copy of the club rules and by laws are available upon request)
Signature*

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Data Protection
At Scrabo Golf Club your privacy is important to us. We are committed to protecting and respecting your personal data in accordance with the Data Protection Act 1998(DPA) and the EU General Data Protection Regulation (GDPR). We will only use your data to help administer the affairs of the Club.
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