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(515) 221-9000
Membership Application


Type of Membership Desired  (check ONE MEMBERSHIP)
I/We understand no portion of the Member Contribution is refundable. Only Corporate memberships are transferable, and then only with the approval of of the General Manager.
Golf 36+
Member Contribution: $20,000
Current Monthly Dues: $590
Monthly Service Charge: $30
Annual Golf Package: $990
Young Professional Golf 30-35
Member Contribution: $12,000
Current Monthly Dues: $420
Monthly Service Charge: $30
Annual Golf Package: $990
Junior Golf Under 30
Member Contribution:$7,500
Current Monthly Dues: $305
Monthly Service Charge: $30
Annual Golf Package: $990

Sports Membership 36+
Member Contribution: $3,000
Current Monthly Dues: $280
Monthly Service Charge: $30
Young Professional Sports 30-35
Member Contribution: $2,000 
Current Monthly Dues: $205
Monthly Service Charge: $30 
Junior Sports Under 30
Member Contribution: $1,000 
Current Monthly Dues: $145
Monthly Service Charge: $30
Social Membership
Member Contribution: $1,000 
Current Monthly Dues: $130
Monthly Service Charge: $30
Non Resident Golf Membership
Member Contribution: $10,000
Current Monthly Dues: $295
Monthly Service Charge: $30
 Non Resident Sports Membership
Member Contribution: $500
Current Monthly Dues: $140
Monthly Service Charge: $30 
  Non Resident Social Membership
Member Contribution: $0
Current Monthly Dues: $65
Monthly Service Charge: $30
  

Personal Information
First Name*
M.I.*
Last Name*
Date of Birth*
Prefix*
Current Address*
City*
State*
Zip Code*
Do you live inside the Glen Oaks gates?*
Marital Status*
Single  Married

 
Email Address*
Home Number*
Cell Number*
 
Applicant's Company Name*
Title*
Business Email*
Business Number*
Business Address*
 City*
 State*
Zip Code*

Significant Other 
First Name
M.I.
Last Name
Date of Birth 
Prefix
Email Address 
Cell Number

 
Company Name

Title
Business Email
Business Number
Business Address
City
State
Zip Code

Dependent Members (Please list your unmarried children under the age of twenty-five.)
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges
Legal First Name
M.I.
Legal Last Name
Date of Birth 
Gender
MF
Charge Privileges

Reference information
Member Sponsor Name:
Sponsor Phone Number

Other personal references (can be non-Members):
Name
Address
Phone
Name
Address
Phone
Name
Address
Phone

Authorization
If accepted into membership, I/we agree to conform to and be bound by the enrollment terms contained herein, the Rules and Regulations, and written membership policies of the Club ("Membership Documents") as they may be amended from time to time. I/we further understand that agreeing to be bound by the Membership Documents is a part of my/our agreement for membership privileges with the Club. I/we specifically understand this membership is not divisible, I/we hereby acknowledge receipt of a copy of the Bylaws and the Rules and Regulations of the Club.

I/WE ACKNOWLEDGE THE MEMBERSHIP RULES AND REGULATIONS PROVIDE THE DETAILS OF THE CLUB'S MEMBERSHIP POLICIES, CONDUCT, AND OBLIGATION, INCLUDING, BUT NOT LIMITED TO, PROVISIONS IN THE EVENT OF DIVORCE, FOR ARBITRATION OF DISPUTES, RESIGNATION, REDEMPTION OF MEMBERSHIPS, FINANCIAL OBLIGATIONS, DISCIPLINARY ACTION, RELEASE OF LIABILITY FOR PERSONAL INJURY AND THEFT.

I/we agree the terms and conditions of my/our membership may not be added to, amended or contradicted in any way by evidence of prior, contemporaneous, or subsequent oral agreements of any kind and acknowledge there are no unwritten oral agreements of any kind.

I/we authorize Club to check my/our credit and employment history and to obtain such information as Club deems necessary to accept my/our application and to extend credit to me/us under my/our membership account at the Club.
Signature of Applicant*  (type name)    Date*