Lake Chabot Golf Club     2009

  Application and renewal for membership (Please Print)

(Ladies welcome ! Needed to start A Ladies Flight

Plan A                                                                                               Plan B

Tournament Player

                     N.C.G.A. Member

Must play 3 rounds for N.C.G. A. Qualifiers

Discount fees for PoppyRidge and Poppy Hills

No tournament fees

$10.00 surcharge for tournaments

Discount fees for PoppyRidge and Poppy Hills

 

 

New Member:  ____                         Tournament Player_________

Junior Member (under age 18):  ____         Birth Date_____________________________ 

                                               

Full Name:  ______________________             Age:  _____ 

Address:     _______________________            City:  _______________________

State:          ______                                              Zip:   ________ 

Day Phone: (____) ____________________              Evening Phone: (_____) __________

 

E-Mail (club use only): _________________________________

 

NCGA# (if applicable):                                         

 

Enclose a check per the following fee schedule (fee includes NCGA Membership)

 

          Senior Member Plan A                                                            $70.00

          Senior Member                                                                        $50.00

Existing Member: Plan B        .         .         .         .         .         .         $75

Tournament Players  PlanA                                                    $95.00

Junior Member: (Under Age 18):      .         .         .         $12.50

 

 

I hereby apply for LCGC membership and agree to abide by all bylaws of the club.

 

Signature:  ________________________________   Date:  ____________

 

Please mail completed application with check payable to Lake Chabot Golf Club.

Send to P.O. Box  21387 Oakland,Ca.94620

New NCGA members will receive their NCGA number and information packet in 2-4 weeks.

Please visit our website for more information at http://www.lakechabotgc.net/ (Use Internet Explorer).