SATICOY SENIOR MEN'S GOLF CLUB
APPLICATION INFORMATION
NAME__________________________________________ADDRESS__________________________________________________
CITY______________________________STATE______ZIP____________ PHONE #_____________________________________
BIRTHDAY: MO.______________DATE____________YEAR_______EMPLOYED_________RETIRED________ AGE__________
PROFFESSION OR CRAFT__________________________________MARRIED_____WIFE'S NAME________________________
HOBBIES OTHER THAN GOLFING_____________________________________________________________________________
E-MAIL ADDRESS__________________________________________________________
CONDITIONS AND PROVISIONS
1. CLUB DUES ARE $40.00 PER YEAR, PLEASE INCLUDE YOUR CHECK WITH THE APPLICATION, NO CASH MONEY. RENEWALS ARE DUE NOVEMBER 15TH FOR THE FOLLOWING YEAR, JANUARY 1 TO DECEMBER 31.
2. APPLICANTS MUST BE (55) YEARS OF AGE OR OLDER.
3. APPLICANT AGREES TO: (1) PRACTICE GOOD GOLF ETIQUETTE. (2) TREAT ALL OTHER MEMBERS
RESPECTFULLY. (3) PROVIDE ASSISTANCE TO CLUB OPERATIONS WHEN REQUESTED. (4)
FOLLOW THE RULES OF GOLF, THE CLUB LOCAL RULES, AND THE PROVISIONS OF THE CONSTITUTION
AND BY-LAWS. A COPY OF THE LOCAL RULES, AND CLUB BY-LAWS WILL BE PROVIDED ON REQUEST.
4. MEMBERS THAT DO NOT PLAY IN SIX (6) REGULAR WEEKLY SSMGC TOURNAMENTS IN THE PREVIOUS
TWELVE (12) MONTH PERIOD MAY BE REMOVED FROM MEMBERSHIP BY THE BOARD OF
DIRECTORS.
5. THE CLUB PROVIDES ITS MEMBERSHIP WITH A RECOGNIZED HANDICAP THROUGH ITS AFFILIATION
WITH THE PLGA, PUBLIC LINKS GOLF ASSOCIATION OF SOUTHERN CALIFORNIA.
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IF YOU ARE OR / WERE A MEMBER OF A GOLF CLUB CURRENT OR PAST; P.L.G.A.; S.C.G.A.; OR
ANOTHER, PLEASE COMPLETE THE FOLLOWING:
CLUB NAME AND NUMBER____________________PLGA OR SCGA MEMBERSHIP NUMBER____-________
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I HEREBY APPLY FOR MEMBERSHIP IN THE SATICOY SENIOR MEN'S GOLF CLUB, AND AGREE TO
THE ABOVE CONDITIONS AND PROVISIONS,
SIGNATURE OF APPLICANT_____________________________________________DATE________________
NOTE: IF NO HANDICAP - IF AVAILABLE, PLEASE ATTACH FIVE (5) OR MORE SCORE CARDS OF
RECENTLY PLAYED GAMES. THIS WILL EXPEDITE YOUR HANDICAP.
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MEMBERSHIP COMMITTEE CHAIRMAN'S CHECK LIST:
DATE APPLICATION RECEIVED:_______________________ APPROVED (YES OR NO)
AMOUNT PAID__________________ CHECK # _______________
PLEASE RETURN THIS COMPLETED APPLICATION TO: MEMBERSHIP CHAIRMAN, SATICOY SENIOR
MEN'S GOLF CLUB, P.O. BOX 4630, VENTURA, CA. 93007-4630.
MAKE YOUR CHECK PAYABLE TO: "SATICOY SENIOR MEN'S GOLF CLUB". ANY QUESTIONS REGARDING
THE CLUB OR THIS APPLICATION, PLEASE DO NOT HESITATE TO CALL HAL CARLSON, SATICOY SENIOR MEN'S GOLF CLUB
MEMBERSHIP CHAIRMAN AT 805-647-8984, E-Mail: halcar55@aol.com. THANK YOU….
Club Web Site: http://jim_mirick.home.mindspring.com
HAL CARLSON REVISED 02/13/2009
