Member Registration

Club Member Registration
Primary Resident Member Name *

First Name Last Name
E-mail *
Coastal Club Address *
Per the Club Membership Plan, an Immediate Family Member is:
- Primary Resident Member's Spouse;
- Primary Resident Member or Spouse's unmarried children, under the age of 23, who are living at the same primary residence as the Club Member
Please list Immediate Family Members information below:
Signature *

Clear
Please refer to the 2017 Member Access & Guest Policy, Club Membership Plan and/or Lighthouse Club Rules & Regulations for more information.

If you have any questions, please contact Clubhouse Management.
Name

First Name Last Name
Should be Empty:

Club Member Registration