Membership Update Form | Polo Fields Golf & Country Club

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Membership Update Form

Please fill out the membership update form if you are making changes or adding to your membership. If you are not changing anything or adding anyone to your membership you do not need to fill out this form, we will use the same information from last year.

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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 - $1,200.00
Individual Cart Plan - Annually - $1,500.00
Family Cart Plan - Annually - $2,200.00

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 - $48.00
Couple-Annually - $96.00

The USGA Handicap Service is required for all Golf Memberships.

USGA Handicap Service (GHIN)-Social Members *

No Handicap Service Needed - $0.00
Single-Annually - $48.00
Couple-Annually - $96.00

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 bylaws and membership rules.

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