HEATON PARK GOLF CLUB
FOUNDED 1912
** PLEASE USE BLOCK CAPITALS FOR ALL DETAILS **
Application for membership and social membership
Name (Mr. Mrs. Miss Ms.) __________________________________________________________________
Address
____________________________________________________________________________________Post code
Home phone no._____________________________________________ Mobile phone no._________________________________
email address
_______________________________________________________________________________Date of application
______________________Date of birth____________________________________________Have you been a member of any other golf club?_________________________________________________________________
If yes, Please give details of the club, when and why you left and your handicap______________________________________
If no, how long have you been playing
golf?__________________________________________________________Where do you normally play?_________________________________________________________________________________
Have you ever been refused membership of any other golf club?____________________________________________________
If yes, please give details
_______________________________________________________________________Are you currently on the waiting list of any other golf club?_______________________________________________________
If yes, which one?___________________________________________________________________________________________
Do you come within the definition of "Amateur Status" as defined in the Royal & Ancient Rules of Golf?
Do you know anyone who is already a member of Heaton Park Golf Club?____________________________________________
If yes, who?_________________________________________________________________________________________________
SUBSCRIPTIONS JOINING FEE
Seniors 50.00 Entrance Fee 15.00
Juniors 20.00 Entrance Fee 15.00
Social 15.00
Proposed Seconded .___________
Date of interview Accepted ___________.