New Member Application

 

Applicant Name: Applicant DOB Required


Spouses Name
Spouse DOB Not required except for Family Membership


Home Address
required


Billing Address
: If different from Home


Phone
: * Cell: Email:


Dependant Children  (age 25 or under living at home or currently in school)  *Family Memerships


Name of Child:
DOB:
Name of Child: DOB:

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Member Sponsor:


Membership Type:

 

I hereby acknowledge that the use of the  club facilities and any privilege of service incident to membership is undertaken with knowledge of risk of possible injury. I hereby accept any risk of injury to myself, my guests or my family sustained while using the club facilities or involved in any event or activity incident to membership at Tri-County Country Club. I understand that I am relieving the club and its directors, employees, shareholders from any and all loss, cost, claims, injuries, damages or liability sustained or incurred by me, my guests and my family resulting from or arising out of any conduct or event connected with membership in Tri-County Country Club and Use of Club facilities
I hereby acknowledge that membership is contingent upon approval by the club, which approval shall be at its discretion.
(please read above and check this box)
*

 

Comments/Questions