Application for Membership

                                     To print application

(Please print)

 

 

Newtown Country Club

Country Club Road

Newtown, Connecticut 06470

 

Name (s) _________________________________________________________________

 

Current Address ___________________________________________________________

 

City / Town ________________________ State _______________ Zip Code __________­

 

Current Employer ___________________________ Position _______________________

 

Business Address __________________________________________________________

 

Telephone Home _________________________     Business ________________________

 

E Mail Address ____________________________________________________________

 

I (we) have been provided with a copy of the membership dues and copies of the membership questionnaire for each person to be included under the following class of membership at Newtown Country Club.

 

Class ___________________________________________________

 

Attached is the initiation fee in the amount of ___________________________________

 

Name of Member Sponsor _________________________________________________

 

Date _______________ Signature____________________________________________

 

 

Applications for membership are considered by the Board of Governors at their regular monthly meetings.

Dues are non-refundable and payable as shown on the dues and fees schedule.

 

For NCC use only

 

New Member Proposed by  _____________________________________________________

 

Board of Governors Approval _______________________  Date________________________

 

Newtown Country Club

 

 

 

 

 

Newtown Country Club

Prospective Member Questionnaire

 

 

 

 

 

 

Applicant’s Name _____________________________________________________

 

1. Do you currently or have you recently belonged to any other private golf club?

 

Yes____ No ____ If Yes, Name of Club________________________________

 

      2. Do you have a current USGA Handicap?  Yes ____ No ____

 

                          GHIN # __________________________ Handicap Index __________

 

      3. How long have you been playing golf?   _________ Years

 

4. How many rounds do you play in a typical season?  _________

 

5. Do you primarily play on weekdays or weekends? ____________________________

 

6.  Do you normally walk or ride ? ______________________

 

7. If you would like club news sent to you via E Mail please give us your address.

 

 

 

Signature of Applicant ______________________________________

 

Required for each person to be included in membership

 

 

Mail to:

Newtown Country Club

P.O. Box 156

Newtown, Connecticut 06470