|
First Name*
| Middle Name
| Last Name*
|
Date of Birth*
| Age*
| Sex*
|
|
| PHYSICAL STREET ADDRESS |
Physical Street Address*
| City / State*
| Zip*
|
| MAILING ADDRESS |
Mailing Street Address / PO BOX*
| City / State*
| Zip*
|
| COMMUNICATION INFORMATION |
Email Address*
| Cell Phone / Home Number*
| Work Phone Number
|
| Check here to receive messages regarding closures, events, and announcements via phone number provided. |
|
Marital Status*
| If married, please fill out the Spouse Information below. |
Spouse First Name*
| Spouse Middle Name
| Spouse Last Name*
|
Spouse Date of Birth
| Spouse Age
| Spouse Sex
|
Spouse Email Address
| Spouse Cell Phone*
| Spouse Work Phone Number
|
| (unmarried) |
Child 1 Name
| Child 1 Age
| Child 1 Birthdate
|
Child 2 Name
| Child 2 Age
| Child 2 Birthdate
|
Child 3 Name
| Child 3 Age
| Child 3 Birthdate
|
Child 4 Name
| Child 4 Age
| Child 4 Birthdate
|
Child 5 Name
| Child 5 Age
| Child 5 Birthdate
|
|
Current / Previous Country Club (if any)
| Length of Membership (in years)
| Current FRGCC member who referred you?
|
Type of Membership Desired*
Family Membership $300 + tax
Single Membership $225+tax
Junior Membership $175+tax
Senior Membership $125+tax
Senior (No Golf) $100+tax | Your Primary Area of Interest*
Golf
Pickleball
Pool | *MEMBERSHIP DOES NOT INCLUDE CART RENTAL* |
Initiation Fee
One Time Non-Rerundable initiation fee of $2500.00
(Due upon signing) | Amenities Chosen
Cart Rental Plan $50 per month
GHIN Handicap $35 per year (Required for ALL club tournaments
|
***ACH DEBIT REQUIRED FOR MONTHLY DUES (CREDIT CARD NOT ACCEPTED FOR MONTHLY DUES), $25.00 CHARGE FOR NSF OR CLOSED ACCOUNT****
The undersigned does hereby acknowledge, accept and understand that I have truthfully and to the best of my ability answered all application questions. If my membership application is granted, I agree to observe and be bound by the Bylaws and Rules and Regulations of False River Golf & Country Club in the present form or as may be amended. I understand that I may resign from the club after fulfilling my initial 12 month membership agreement by giving 30 days written notice to the club. All accrued dues and other charges for which the member is liable are due upon the effective date of resignation. I further agree to pay all attorney fees, court costs and other expenses incurred by FRGCC in collecting delinquent or unpaid dues and fees. I acknowledge, accept and understand that I am personally liable and responsible for all financial obligations relating to my membership and any of my family members who will be utilizing False River Golf & Country Club.
**Membership Approval Disclaimer: Membership is not considered active or guaranteed until the required initiation fee and initial monthly dues have been received and successfully cleared with account information provided. Credit Card Payments accepted in person only. Submission of this application does not guarantee membership approval or access to club facilities.
APPLICATION APPROVAL: APPLICATION WILL BE APPROVED BY GM ONCE PAYMENT HAS SUCCESSFULLY CLEARED |
Signature of Applicant* (type name)
|
| Date*
|
| | |
