Online membership form - Waikanae Golf Club

Edit Hero

Online Membership Form

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

Email Address*

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Do you have any serious medical conditions that you’d like the club to be aware of?*

Please confirm you have read and accept the Terms and Conditions:*

Emergency Contact Name & Number

Please expect a call from our GM, Chris Judd, with a welcome and club introduction.

By joining our club you are committing to the end of the relevant subscription period, early cancellation for medical reasons only.

Joining WGC means you automatically join our weekly newsletter list.

Enter any additional notes here regarding your application

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 2020. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information. As a member of Waikanae Golf Club, you agree to all rules, conditions and playing privileges that apply to your membership.

Please tick:

	Address: 97 TE MOANA ROAD WAIKANAE NEW ZEALAND
	Phone: +64 (4) 293 6399
	Email: office@waikanaegolfclub.co.nz