Name of Applicant ........................................................................................Date of Birth.............................................

Local Address: ..............................................................................................................................................................

Phone Home ........................................................Cell.............................................Office...............................................

E-mail Address ..........................................................................................................

Occupation..........................................................................Employer..............................................................................

Business address ...........................................................................................................................................................

Previous Clubs ( if any) ..............................................................................................Handicap........................................

In case of Emergency, contact ...............................................................................phone.................................................

Doctor's Name.......................................................................................................phone.................................................

Applying for: ( Please tick box(es) where applicable) 
Full Playing         Non-Prime       Non-National                Men         Ladies          Junior

NON-NATIONAL APPLICANTS:     NATIONALITY...................................................

Home Address: ....................................................................................................................................................

JUNIOR APPLICANTS*

Parent/Guardian: ..........................................................................Phone ............................................................

Parent/Guardian: .........................................................................Phone..............................................................

Existing Medical Conditions? ................................................................................................................................

..............................................................................................................................................................................
                       signature of applicant                                                                             date

I, THE UNDERSIGNED PROPOSER, BEING PERSONALLY ACQUAINTED WITH THE APPLICANT FOR

........................................................  (MONTHS / YEARS) TAKE PLEASURE IN SPONSORING THIS APPLICATION

Proposer (please print) ......................................................    ............................................................................
                                                            name                                                               signature

Seconder (please print) ......................................................    ............................................................................
                                                            name                                                               signature

*APPLICATIONS FOR JUNIOR MEMBERSHIP MUST BE PROPOSED AND SECONDED BY MEMBERS OF THE MANAGEMENT COMMITTEE