Club Membership Registration Form

Membership Waiting List

Complete the form below to sign up for our membership waiting list
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

City/ CountyState / Province

Postcode
Handicap Details/ Previous Handicap Details

Previous Club Name

CDH Number
Birth Date

MonthDayYear
Membership Type

AdultIntermediate 27 YearsIntermediate 26 YearsIntermediate 25 YearsIntermediate 24 YearsIntermediate 23 YearsIntermediate 22 YearsJunior Age 17 - 21 YearsJunior Under 16
Preferred way to contact

PhoneEmailAny
Membership Waiting List Deposit
1. Following submission of this form, we will reach out to you to arrange a £50 deposit to secure your position on the waiting list. This deposit will be deductable from the membership fee when successful.
I have read, understood, and accepted the rules for membership.
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
Should be Empty:

Membership Waiting List