Membership Form

I wish to join Nambucca Heads Island Golf Club and hereby apply to be admitted as a member and agree to be subject to the Constitution, Rules and Regulations of the Club. The Board reserves the right to refuse any application for membership in their absolute discretion without giving any reason. All fields help the Club assess and support its membership; date of birth is required for all members. A copy of the Club's privacy policy is available on request from the office.

Membership Category

Category *

Your Details

Title

Date of Birth *

First Name *

Surname *

Home Address *

Suburb *

State

Postcode *

Telephone (Home)

Telephone (Business)

Mobile *

Email *

Golf History

Previous Golf Club

Previous Handicap

Previous Golflink Number

Will we be your Home Club?

Emergency Contact

Name (first name then surname) *

Relationship (e.g. spouse / friend)

Emergency Contact Phone *

Declaration

I confirm the above information is correct, and I agree to be subject to the Constitution, Rules and Regulations of Nambucca Heads Island Golf Club. I understand the Board may refuse any application at its absolute discretion. *

Submitting this form acts as your signature and is dated automatically on receipt.