Application for Membership
The Hyde Park Golf & Country Club

Please choose a type of Membership:

Full Name:

Home Address

How Long?

City

State

Zip Code

Phone #

Fax #

Date of Birth

Place of Birth

Father's Full Name

Mother's Maiden Name

Email Address

Occupation

Name of Business

Position

Nature of business of profession

How long with your present company?

Office Phone #

Office Fax #

Name of Your Bank

Clubs, Associations, Societies, etc., in wich you hold membership and/or offices:

Club activities in which you are most interested:

Names of members of HPG&CC (not including sponsors) with whom you are personally acquainted:

Family Information

Spouse's Full Name:

Date of Birth

Maiden Name:

Club activities interested in:

Name of Clubs, Associations, Societies, etc., in which your spouse holds membership:

Please list Children Information below:

Full Name:

Birth Date:

Full Name:

Birth Date:

Full Name:

Birth Date:

Full Name:

Birth Date:

Club activities interested in
I agree to pay all house charges, dues or any other indebtedness due the Club within fifteen (15) days from the date upon which they are due and agree that any arrearage shall additionally be subjected to a late fee from the date upon which such debt was due as determined by the Board.

Recommended by (personal signatures of two members required)

Sponsoring Member:

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Application for Membership The Hyde Park Golf & Country Club

Application for Membership
The Hyde Park Golf & Country Club