Application Form

Prefix*
Surname*
Given Name*
Preferred Name
Address*
Suburb*
Postcode*
Phone
Phone (BM)
Mobile*
Email*
Date of Birth*
Occupation*
Self Employed*
- Yes
- No

I agree to abide by the terms & conditions of the Box Hill Golf Club as set down in the Constitution & By-Laws of the Club.
Publication permission
- Please tick here if you do not want your name and phone number published in the Box Hill Golf Club Hand Book. (To be signed by parent if applicant is under 18 and print full name of parent
Are you above the age of 18?*
- Yes
- No
Date of Birth*
Confirmation*
- I hereby confirm all information is true and accurate.
1. This form is to be completed in all aspects prior to the proposal for membership of the Club being considered.
2. Once completed, it should be submitted to the Club office and accompanied by a $110 application fee. This will be credited against your Subscription Fees should your application be successful.
3. Your application will be considered by the board and once approved, you will be notified in writing that your application and deposit has been received along with the next scheduled Membership Induction date with a Board member or Management.
4. After this induction, a letter will be sent by the General Manager or Membership Manager advising you of your acceptance to the Club and an invoice for payment of any applicable Entrance Fee, Annual Subscription and any other charges or levies applicable.
5. Upon payment of such fees, the applicant will become a Member of the Club and will be issued with a membership Tag. If within one month of such request, the relevant fees are not paid in full, the election to membership shall be null and void and any prior payments made shall be retained by the club.

Please ensure you have read the ‘membership Procedure’ above prior to signing this form. The Applicant, in signing this form acknowledges, accepts and agrees;

That the information provided in this application is true and correct
The Board shall not be bound to accept the application for membership or to give any reason for the non-acceptance of any application.
To abide by the Club’s Constitution, By-laws and Policies (copies of these are available upon request in writing from the Club’s General Manager).
That any changes to personal details must be advised to the Golf Club Office immediately.v
That the applicant’s personal details may be forwarded to sporting bodies for the purpose of affiliation and are held on the Club’s database for the purpose of servicing of notices and to comply with the liquor Reform Act.
To provide consent for The Box Hill Golf Club or their contractors to use the applicants’ personal information so they can send newsletters or other material to the applicant.
That the applicants telephone number may be printed in the Program of Events and given to members and club Staff who may need to contact the applicant.
Comments
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Application Form

Emergency Contact

I agree to abide by the terms & conditions of the Box Hill Golf Club as set down in the Constitution & By-Laws of the Club.

Responsible Service of Gambling