Social members must be proposed and seconded by members of the club who themselves been members for a minimum of one year.
Title Full name Gender
Please select Male Female Date of birth Address Post code Email address Home telephone number Mobile number Name of Spouse (if applicable) Emergency contact Emergency contact number Proposer name Seconder name 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.
Data Protection Opt In
In order to receive relevant marketing material and important information from the Club please tick the relevant boxes below:
I wish to receive information about the Club’s latest events and special offers
Please select Yes No I give my consent for my image to be used for promotional purposes
Please select Yes No Should you leave the club we would like to continue to hold your personal data so that we may contact you with details about future membership offers. If you agree to us retaining your personal data for this purpose
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 of applicant Date of application Confirm