Membership Application | Polo Fields Golf & Country Club

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Membership Application

Please fill out the membership application below. Once we receive your application, a member of our staff will contact you.

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- Step 1 of 2

First Name - Primary Member: *

Last Name - Primary Member: *

Your Birthdate: *

Email - Primary Member: *

Mobile Phone Number - Primary Member: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Membership level descriptions can be viewed by clicking the links below:

Golf Memberships Social Memberships Business Memberships

Pick a Membership Level: *

Full Family Golf Membership (Ages 50-66) Annually - $7,700.00
Full Family Golf Membership (Ages 50-66) Monthly - $700.00
Single Full Golf Membership (Ages 50-66) Annually - $5,850.00
Single Full Golf Membership (Ages 50-66) Monthly - $520.00
Intermediate Full Family Golf Membership (Ages 40-49) Annually - $6,100.00
Intermediate Full Family Golf Membership (Ages 40-49) Monthly - $540.00
Intermediate Single Golf Membership (Ages 40-49) Annually - $5,100.00
Intermediate Single Golf Membership (Ages 40-49) Monthly - $450.00
Senior Couple Golf Membership (Ages 67+) Annually - $4,400.00
Senior Couple Golf Membership (Ages 67+) Monthly - $390.00
Single Senior Golf Membership (Ages 67+) Annually - $3,570.00
Single Senior Golf Membership (Ages 67+) Monthly - $315.00
Junior II Full Family Golf Membership (Ages 30 -39) Annually - $4,550.00
Junior II Full Family Golf Membership (Ages 30 -39) Monthly - $400.00
Junior II Single Golf Membership (Ages 30 - 39) Annually - $3,500.00
Single Junior II Golf Membership (Ages 30 - 39) Monthly - $320.00
Junior I Full Family Golf Membership (Ages 18 -29) Annually - $3,200.00
Junior I Full Family Golf Membership (Ages 18 -29) Monthly - $280.00
Single Junior I Golf Membership (Ages 18 - 29) Annually - $2,100.00
Single Junior I Golf Membership (Ages 18 - 29) Monthly - $190.00
Single Business Membership Annually - $1,050.00
Family Business Membership Annually - $2,100.00
Family Business Membership Monthly - $190.00
Family Legacy Golf Membership Annually - $3,050.00
Family Legacy Golf Membership Monthly - $300.00
Single Legacy Golf Membership Annually - $1,800.00
Single Legacy Golf Membership Monthly - $180.00
College Student Golf Membership Annually - $1,250.00
High School Golf Membership Annually - $500.00
Social Member Resident Annually - $840.00
Social Member - Resident Monthly - $80.00
Social Member Non-Resident Annually - $1,050.00
Social Member Non-Resident Monthly - $95.00
Dining Only Membership - Annually - $100.00

Business Name: *

Enter the names of other Business Members working at the same business: *

Add additional services to your membership.

The pool and fitness center are not included in the above memberships, but may be added to your membership by selecting them below.

Add a Social Member Punch Card:

12 Rounds of 9 Holes - $480.00
12 Rounds of 18 Holes - $900.00

Add the Pool Membership to Membership: *

No Pool Membership - $0.00
Pool Membership - Annually - $550.00
Pool Membership - Monthly - $60.00

Add the Fitness Center to Membership: *

No Fitness Center Membership - $0.00
Fitness Center Membership - Annually - $320.00
Fitness Center Membership - Monthly - $35.00

Add Additional Services to Membership: *

No Additional Services Needed - $0.00
Additional Locker - Annually - $160.00
Wine Locker - Annually - $250.00
Single Driving Range - Annually - $375.00
Family Driving Range - Annually - $600.00
Trail Fee - Member Owned Cart - $1,100.00
Individual Cart Plan - Annually - $1,500.00
Family Cart Plan - Annually - $2,300.00

Add the Hole-in-One Program *

No, Thank you. - $0.00
Hole-in-One Program - $5.00

This program is used when a member that is in the program gets a hole-in-one and then each member that is in the program is charged $5.00. The monies collected go to the member that had the hole-in-one to help pay their bar bill. The member must be in the program before getting the hole-in-one to be eligible for the payout.

USGA Handicap Service (GHIN) *

Single-Annually - $45.00
Couple-Annually - $90.00

The USGA Handicap Service is required for all Golf Memberships.

USGA Handicap Service (GHIN)-Social Members *

No Handicap Service Needed - $0.00
Single-Annually - $45.00
Couple-Annually - $90.00

Social Members may purchase the USGA Handicap Service.

Do you have a spouse or significant other who lives with you that you want to add to your membership? *

Yes
No

Name of Spouse: *

First

Last

Email for Spouse: *

Mobile Number for Spouse: *

Birthdate for Spouse: *

How many unmarried children do you have that are twenty-three (23) and under who are living at home and attending school full-time? *

1
2
3
4
5
6
None

Name of Child #1 *

First

Last

Birthdate of Child #1 *

Name of Child #2 *

First

Last

Birthdate of Child #2 *

Name of Child #3 *

First

Last

Birthdate of Child #3 *

Name of Child #4 *

First

Last

Birthdate of Child #4 *

Name of Child #5 *

First

Last

Birthdate of Child #5 *

Name of Child #6 *

First

Last

Birthdate of Child #6 *

Comment or Message

By clicking the submit button you are agreeing to Polo Fields Golf & Country Club's Bylaws and Membership rules.

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