Nomination Form

Your name has been submitted for possible consideration for membership. Please provide us with information about yourself and your family. Completing this form does not confer any membership rights or privileges. Please note: Your name will be posted, and member comments will be invited. This information is for Kinloch Golf Club use only, and your signature allows disclosure of said information.

AFFILIATIONS (List other private clubs to which you now belong or to which you previously belonged. )

CLUB ASSOCIATIONS

List the Kinloch members with whom you are personally acquainted but not related:

List any relatives who are or have been members of Kinloch Golf Club.

PROFESSIONAL REFERENCES – Names of 3 individuals whom you know from a professional, religious, or charitable perspective.

Please take a few minutes to write a letter stating why you would like to join Kinloch Golf Club and what you feel you can offer or bring to the club. Include it with this application.

Nominee Authorization to disclose and release information.

I authorize Kinloch Golf Club to disclose and release information to investigate my character, general reputation, personal characteristics, living mode, reputation, and financial condition, including a credit check.

I certify that, to the best of my knowledge, the preceding information is correct. I understand that any misrepresentation may result in denial of further consideration.

If elected to membership, I agree to abide by the club's Bylaws, Rules, and Policies as set forth by the membership and the Board of Directors. In addition, I agree to pay any charges I authorize as per the club’s guidelines. I understand that they may include dues, assessments, food, beverages, service charges, and other charges of a similar nature. I also understand the initiation fee is in effect at the time of my admission into membership.

Printed Name: (Additional Supporters are encouraged but optional.)

Printed Name: (Additional Supporters are encouraged but optional.)