Application Form

QUEENS PARK GOLF CLUB
APPLICATION FOR COMPETITION MEMBERSHIP

Please note that the members' club is run independently of the course management. As such, no green fees are included in club subscriptions. Enquiries relating to green fees should be directed to RM Estates via Malkins Bank Golf Course or at the Queens Park site. This form is intended for those wishing to enter club competitions and obtain a CONGU handicap.
Full Name*

PrefixFirst NameLast Name
Address*

Address

Address

TownCounty

Post Code
E-mail
Tel:
Tel (Mobile):
Date of Birth*

DayMonthYear
Occupation
Membership of Other Golf Clubs
Please indicate past or present
CDH Number
if known
Society Membership
Handicap
Month & Year of your last competition with CONGU handicap (if known)
Month
Year
Membership Type Required
If you know any current club members, please indicate name(s)
Emergency Contact Information:
Name

PrefixFirst NameLast Name
Tel. No:
Should be Empty: