NCC Student Membership

Student Membership

Northridge Country Club is proud to be able to offer a special membership available to students. This membership fee includes these of the golf course, all practice facilities and clubhouse. An Initiation fee of $125 is due upon acceptance. The Range Program, if desired, will be charged at the same rate as other members, which is an additional $175 plus tax per year. Parent or guardian will be required to sign contract guaranteeing all charges, damages, etc. And have a valid ACH form on file.
Applicant's Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email
example@example.com
Student Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
School
We, the undersigned, herewith make an application for membership for {applicantsName} in the Northridge Country Club. If accepted, we agree to abide by all the rules and regulations of the Club, as set forth by the Board of Directors and prescribed in the Constitution and By-Laws, including those pertaining to the full and timely payment of dues.

AS A CONDITION PRECEDENT TO BEING GRANTED THE RIGHTS AND PRIVILEGES OF MEMBERSHIP IN NORTHRIDGE COUNTRY CLUB, THE UNDERSIGNED AGREES TO MAINTAIN MEMBERSHIP AND SHALL BE CONTRACTUALLY RESPONSIBLE FOR THE PAYMENT OF DUES FOR A MINIMUM OF ONE YEAR. IN ADDITION, ANY FEES AND EXPENSES ASSOCIATED WITH THE ENFORCEMENT OF THIS PROVISION, INCLUDING BUT NOT LIMITED TO ATTORNEY’S FEES, SHALL BE PAID BY THE UNDERSIGNED. ANY WAIVER OF THIS PROVISION SHALL BE CONSIDERED BY THE BOARD OF GOVERNORS ON A CASE-BY-CASE BASIS.
Signature of Student Applicant
Signature of Parent or Guardian
Parent or Guardian Name

First NameLast Name
Parent or Guardian Number
Please enter a valid phone number.Format: (000) 000-0000.
Email of Parent or Guardian for billing purposes
example@example.com
NORTHRIDGE COUNTRY CLUB

OFFICE USE

STUDENT MEMBERSHIP

NAME: {applicantsName}

INITIATION FEE: $125 plus Annual Range Program $175

DATE JOINED: ____________

MEMBERSHIP NUMBER: __________
Should be Empty:

Student Membership

NORTHRIDGE COUNTRY CLUB

OFFICE USE