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Application Form

Personal Information

First Name

Last Name

Birthday

Street Address

City

State

Zip Code

Cell Phone Number

Email Address

Spouse's First Name

Spouse's Last Name

Spouse's Birthday

Spouse's Email

Spouse's Phone Number

Membership Type

Do you Golf?

If Yes, how long have you played?

Your USGA Handicap

Does your spouse play Golf?

If Yes, how long has your spouse played golf?

Spouse USGA Handicap

What are your dependent children's names and ages, to be added to your account?

Do your children play Golf?

If Yes, please provide their names and birthdays?

Children's USGA Handicap(s)

Business Information

Applicant's Employment Occupation/Nature of Business/Profession

Company Name

Title/Position

Business - Street Address

Business - City

Business - State

Business - Zip Code

Business - Phone Number

Years of Employment

Business Email Address

Reference Information

Memberships & Affiliations

Please list memberships in other clubs, fraternities, or organizations, including positions held:

Memberships/Affiliations

SGC Member Acquaintance First Name

SGC Member Acquaintance Last Name

Years Known

How did you hear about Suburban Golf Club?

Authorization

The membership period is from April 1st of the current year to March 31st of the following year. By signing this annual membership application for Suburban Golf Club (SGC), I understand and agree to the following: 1. Background Investigation: SGC may obtain information about me from Checkr, Inc. or other consumer reporting agencies for membership-related purposes. This report may include criminal history, motor vehicle records, professional license verifications, and other relevant public records. A separate “Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)” will be provided to me, and I may request additional information about the nature and scope of any background investigation. 2. Authorization to Inquire: I hereby authorize SGC, through its representatives, to make inquiries about my financial condition, family, and professional background, including inquiries through consumer credit reporting organizations and criminal record repositories. 3. Accurate Information: I acknowledge, accept, and understand that I have answered all application questions truthfully and to the best of my ability. 4. Acceptance of Membership Obligations: I acknowledge that I have reviewed SGC’s Rules and Regulations (available at https://pub-5ffcf5a85ca94339a09d8040afda7cdb.r2.dev/SGC-Golf-Rules.pdf ) and By-Laws (available at https://pub-5ffcf5a85ca94339a09d8040afda7cdb.r2.dev/SGC-BY-LAWS.pdf )If my application for membership is granted, I agree to be bound by and abide by the Constitution, By-Laws, and Rules and Regulations of SGC in their present form or as they may be amended. 5. Financial Responsibility: I acknowledge, accept, and understand that I am personally liable and responsible for all financial obligations relating to my membership, including those incurred by my family members who utilize SGC’s facilities.

Applicant Signature

Signature