Social Membership Application Form

Category(Required)

I hereby apply to become a Member of Moor Park Golf Club under the Category listed below and I agree, if elected, to be bound by the Memorandum & Articles of Association and Bye-Laws of the Club.

Personal Information

Title

Your Name(Required)

First Last

Date of Birth(Required)

Gender

Male

Female

Other

Prefer not to say

Your Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Profession, Business or Occupation (if applicable)

Company Name and Address (if applicable)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Background

Are you a member of any other Clubs?

If so, please list them below

Name of Sponsor (current Club Member recommending you)

Membership

How often do you plan to use the facilities? (Weekdays/Weekends etc)(Required)

When would you like to start your Membership?(Required)

About You

What are your reasons for wanting to join Moor Park?(Required)

Are you interested in Club Social Events?(Required)

How did you hear about Moor Park?(Required)

Additional Information

Please list any other clubs that you are involved with

Please list any other hobbies or interests

Declaration(Required)

I hereby declare that the information provided is true and correct to the best of my knowledge and believe that I have not withheld any relevant information. I understand that any falsification of information may result in denial of membership or expulsion from the club. I agree to abide by the rules and regulations of Moor Park Golf Club as set forth by the club’s management and committees.

Signature(Required)

Print Name(Required)

First Last

Date(Required)