Date of application Please select age category
Please select Age 6 - 12 Age 13 - 14 Age 15 - 17 Age 18 - 20 Title Full name Gender
Please select Male Female Date of birth Address Post code Email address Home telephone number Mobile number Parent's name Parent's telephone number & email address Parent's name Parent's telephone number & email address Current / previous club Handicap (if applicable) CDH number (if applicable) Do you wish to make Brocton Hall your home club?
Please select Yes No Do you have a parent at Brocton Hall Golf Club Declaration
If elected I agree to become a Member of Brocton Hall Golf Club and I will be bound by the club's Articles of Association and the Rules of the Club. I agree to either pay in full, any appropriate joining fee or, should I elect to pay by instalments, I will remain liable for the total joining fee until it is fully paid.
England Golf require member email address and date of birth information to be sent to them for the World Handicap System. Do you give consent for us to share this information with England Golf?
Please select Yes No
I confirm that I am over the age of 16 and have read, understood and agree with the way my data will be used by Brocton Hall Golf Club. (If under the age of 16, a parent or guardian must sign this form on your behalf).
Signature (Applicant/Guardian) Confirm