Download Registration Form 2019
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HURONSAUGA GOLF CLUB Membership Application Form – 2019 (MUST BE 55 YEARS OF AGE & OLDER)
New Applicant: ________ Renewal: ________
PLEASE PRINT CLEARLY – COMPLETE IN FULL, SIGN & DATE
Last Name: _________________________________ First Name: _____________________________ Address: ____________________________________________________Unit/Suite_______________ City: __________________________________________
Postal Code: ________________________
Telephone: ______- ______ - ________E-mail: ____________________________________________ I prefer to play ____ 9-hole games/_____ 18 hole games My name may be shown on the Huronsauga website: My image may be used on the Huronsauga website: My contact information may be shown on the Huronsauga website:
Yes_____ Yes_____ Yes_____
No______ No______ No _____
MEMBERSHIP DUES: $55.00 per member. All memberships expire on November 30 each year. MEMBERSHIP FEES ARE NON-REFUNDABLE.08 Please return this Application Form with your payment to Chris Woodward, Treasurer, 1544 Woodeden Dr., Mississauga L5H 2V3 Tel. 905-271-1996 Email: [email protected] (Cheques payable to: Huronsauga Golf Club)
DECLARATION
In becoming a member of the Huronsauga Golf Club I agree to abide by the Constitution and By-laws, it’s Rules and Regulations and the Golf Etiquette indicated in the Club’s Official Handbook, and those of Golf Canada and the Royal and Ancient Golf Club of St. Andrews.
PARTICIPANTS WAIVER
Membership in the Huronsauga Golf Club is conditional upon the applicant agreeing not to hold the City of Mississauga, Huronsauga Golf Club, it’s Directors, Officers, and Committee Members liable for any theft, loss of property, accident, injury, or death of either members or of their guests attending Club activities, whether arising as a result of negligence, breach of contract, strict liability or otherwise. Further, this signed application represents consent to emergency medical treatment in the event of injury or illness during any Huronsauga Golf Club activity or event. I have read and understand the terms and conditions of this Membership Application including the Declaration and Participants Waiver.
* SIGNATURE:_____________________________________________DATE:__________________________________ NOTE: Every applicant must complete, sign and date their own registration form in order to apply for a membership in the Club. Also, please indicate where you would be able to assist.
The Club’s success is dependent on the active participation of ALL members.
( ( ( ( ( (
) ) ) ) ) )
Board – Executive Social Events Coordinator – 9 Holes Coordinator – 18 Holes Tournaments Special Events/Fun Days
( ) Other ________________________ March 18, 2019 RTI
HURONSAUGA GOLF CLUB Membership Application Form – 2019 (MUST BE 55 YEARS OF AGE & OLDER)
New Applicant: ________ Renewal: ________
PLEASE PRINT CLEARLY – COMPLETE IN FULL, SIGN & DATE
Last Name: _________________________________ First Name: _____________________________ Address: ____________________________________________________Unit/Suite_______________ City: __________________________________________
Postal Code: ________________________
Telephone: ______- ______ - ________E-mail: ____________________________________________ I prefer to play ____ 9-hole games/_____ 18 hole games My name may be shown on the Huronsauga website: My image may be used on the Huronsauga website: My contact information may be shown on the Huronsauga website:
Yes_____ Yes_____ Yes_____
No______ No______ No _____
MEMBERSHIP DUES: $55.00 per member. All memberships expire on November 30 each year. MEMBERSHIP FEES ARE NON-REFUNDABLE.08 Please return this Application Form with your payment to Chris Woodward, Treasurer, 1544 Woodeden Dr., Mississauga L5H 2V3 Tel. 905-271-1996 Email: [email protected] (Cheques payable to: Huronsauga Golf Club)
DECLARATION
In becoming a member of the Huronsauga Golf Club I agree to abide by the Constitution and By-laws, it’s Rules and Regulations and the Golf Etiquette indicated in the Club’s Official Handbook, and those of Golf Canada and the Royal and Ancient Golf Club of St. Andrews.
PARTICIPANTS WAIVER
Membership in the Huronsauga Golf Club is conditional upon the applicant agreeing not to hold the City of Mississauga, Huronsauga Golf Club, it’s Directors, Officers, and Committee Members liable for any theft, loss of property, accident, injury, or death of either members or of their guests attending Club activities, whether arising as a result of negligence, breach of contract, strict liability or otherwise. Further, this signed application represents consent to emergency medical treatment in the event of injury or illness during any Huronsauga Golf Club activity or event. I have read and understand the terms and conditions of this Membership Application including the Declaration and Participants Waiver.
* SIGNATURE:_____________________________________________DATE:__________________________________ NOTE: Every applicant must complete, sign and date their own registration form in order to apply for a membership in the Club. Also, please indicate where you would be able to assist.
The Club’s success is dependent on the active participation of ALL members.
( ( ( ( ( (
) ) ) ) ) )
Board – Executive Social Events Coordinator – 9 Holes Coordinator – 18 Holes Tournaments Special Events/Fun Days
( ) Other ________________________ March 18, 2019 RTI
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