Junior Golf Program

Annual Junior Membership Form

Applicant:*

Date of Birth:

Today

Home Address:

Phone Number:

City:

Postal Code:

Age:

Jr. Member E-mail:*

*This email address will be used as the main method of communication between the Golf Club and the Junior Member.

Form of Payment:

Cash/Debit
Cheque
Credit Card

Please select a preferred form of payment and a member of our golf center team will contact you.

Signature of Junior Member:

I hereby apply to become a Junior Member at RICHMOND COUNTRY CLUB. I have received a copy of the junior conditions of membership explaining club standards and volunteer commitment. I am aware the DRESS CODE and SILENT CELL PHONE POLICY must be obeyed at all times. I agree that by submitting this application, I am electronically signing the application.

Sponsor/Parent/Guardian:

Sponsor/Parent/Guardian Email:

Sponsor/Parent/Guardian Phone:

Security code:

Enter security code:

Annual Junior Member Charge Account:

In order to provide the Annual Junior Member the ability to charge food, drinks, good and services to their account, we require a completed Pre-Authorized Payment form along with a void cheque

9100 Steveston Highway Richmond, B.C. V7A 1M5 Canada

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