




Rates
2012 MEMBERSHIP APPLICATION
HENDERSON LAKE GOLF CLUB
2727 SOUTH PARKSIDE DRIVE, LETHBRIDGE, T1K 0C6
PERSONAL INFORMATION: MEMBER ACCOUNT #(____________)
Surname____________________________________ First Name__________________________
Address_____________________________________ Postal Code_________________________
Telephone___________________________________ Business Phone______________________
Birthdate____________________________________ e-mail______________________________
BEFORE DECEMBER 16, 2011 APRIL 1, 2012
CASH CREDIT CARD CASH CREDIT CARD
MEMBERSHIP TYPE
1.Adult(7 Day) $1200.00 $1240.00 $1275.00 $1320.00 ______________
2. Spouse (7 Day) $1000.00 $1030.00 $1075.00 $1110.00 ______________
3. Adult(5 Day) $1000.00 $1030.00 $1075.00 $1110.00 _______________
4: Spouse (5 Day) $850.00 $875.00 $900.00 $930.00 _______________
5. Senior (4 Day) (age 60) $900.00 $930.00 $950.00 $975.00 _______________
6. Senior Spouse (4 Day) (age 60) $700.00 $730.00 $800.00 $830.00 _______________
7. Super Senior* (4 Day) (age 75) $700.00 $730.00 $800.00 $830.00 ________________
Super senior must been a member at HLGC for minimum 10 years
8. Intermediate (19 – 29) $875.00 $900.00 $925.00 $955.00 ________________
9.Student Full Time $550.00 $575.00 $600.00 $630.00 ________________
Under 25 years of age) (post secondary institution Attending)____________________________________________
10. Sponsored Junior ________________$275.00 $285.00 $300.00 $310.00 ________________
(sponsored by Parent/Grandparent) (restricted tee times)
(When adult and spouse join with 3 or more children no charge after 2 juniors)
11. Non Sponsored Junior $325.00 $335.00 $375.00 $385.00 _______________
12. Non Resident (100 kms outside of Lethbridge
$875.00 $900.00 $925.00 $955.00 _______________
13. CORPORATE MEMBERSHIP $4000.00 $4120.00 $4100.00 $4225.00 ______________
(150 games)
14. Driving Range Seasonal $ 100.00 _______________
15. Locker Rental- Locker #(_______) Small $ 35.00 Large $ 55.00 _______________
16. Yearly Golf Cart Fees- Storage Electric $315.25 Gas $245.00
17. Yearly Golf Cart Track Fee $225.00
18. Additional Designated Driver (immediate family only) $210.00
Name:_______________________________________
19. YEARLY CLUB GOLF CART LEASE: _______________
A. 4 Days – 18 Holes Single $500.00 2 Persons $650.00 36 Holes $815.00
B. 5 Days – 18 Holes Single $630.00 2 persons $ 780.00 36 holes $980.00
C. 7 Days – 18 Holes Single $815.00 2 persons $ 1025.00 36 holes $1280.00
20. CLUB IMPROVEMENT PLAN
( $75.00 Per Adult, Senior, Super Senior, Spouse and Intermediate) _______________
21. LEAVE OF ABSENCE FOR 2012 SEASON $ 100.00 _______________ (must be applied for prior to April 1, 2012)
22. SUB TOTAL OF APPLICABLE FEES $________________
23. G.S.T. Registration No. R 122544851 5%$ ________________
CHEQUE (__)CASH(__)VISA(__)MC(__)DBT(__) TOTAL $________________
RECEIPT#_____________________BY___________DATE____________________
PLEASE COMPLETE SIGNATURES REQUIRED ON BACK PAGE:
PLEASE READ CAREFULLY
(___) I do not wish to have my name, address, photo or phone number in club related activities such as club roster, trophies, plaques or media articles.
Unless otherwise indicated the club will assume the permission to use your information. Information maintained by the club is used for billing and promotional purposes and to help members contact members from time to time regarding club activities which may be of interest.
IN THE CASE OF AN EMERGENCY WHOM MAY WE CONTACT?
Name:_______________________________________
Phone #_____________________________________
Please return this application, signed and fully completed with your remittance and type of membership category and additional names where required with ages and birthdates. All fees, storage charges etc. must be paid in full by April 1, or arrangements made at the club office. A late penalty fee of $75.00 will be charged to your account after May 1, 2012 for late membership fees.
Your fees include RCGA, CLGA, AGA and ALGA dues.
Leave of Absence requests must be submitted in writing by April 1. Leave of Absence fee is $100.00 plus GST. A member on Leave of Absence is allowed to play a maximum of 5 games of 18 holes paying the applicable green fees.
Minimum Monthly Clubhouse Charge of $30.00 per month per adult member will be in effect from April 1st to September 31st, 2012. October MHC will be $15.00/adult member. Clubhouse tentatively closes October 15, dependent on weather and business.
ALL OVERDUE ACCOUNTS (30 DAYS OR MORE) WILL BE SUBJECT TO A FINANCE CHARGE OF 1.33% PER MONTH.
By signing this application form and submitting payment for fees. I hereby agree to abide by all Rules and Regulations of the Henderson Lake Golf Club including those posted, printed or published in Board Policies.
Signed:____________________________________ __________________
(member signature) (member account #)
Come visit us and enjoy.
Book tee times 5 Days in Advance by calling the pro shop
(403) 329-6767
Group bookings and small tournaments considered.
Adult Rates
| Adult 18 All Day Rate Non-resident | $55.00 |
| Adult 18 All Day Resident Rate | $50.00 |
| Adult 9 Hole Rate | $30.00 |
| Member Guest | $45.00 |
| Junior Rates | |
| Junior (18 & Under) 18 Hole Rate | $30.00 |
| Junior (18 & Under) 9 Hole Rate | $21.00 |
| Electric Cart Rentals | |
| 18 Hole Power Cart Rental | $35.00 |
| 9 Hole Power Cart Rental | $22.00 |
| Flex Cards | |
| 5 - 18 Hole | $200.00 |
| 5 - 9 Hole | $104.00 |