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2017 PRACTICE FACILITY APPLICATION
NAME________________________________________________________________________
LAST
FIRST
MIDDLE
ADDRESS_____________________________________________________________________
NO & STREET
TOWN
PHONE________________________________
ZIP
Date of Birth_________________
Required for all juniors
EMAIL________________________________
____________________________________________________________________________________________________________________
OFFICE USE ONLY
Employee: _______________
□ Check
Date:
Check #:
_______________
Member #: _______________
□ Cash
□ Credit Card
_______________
Amount: $ _______________
□ Database
____________________________________________________________________________________________________________________
I agree and understand and will abide by the regulations below.
____________________________________________________
Applicants Signature
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Information and Regulations
1. The membership is for the individual only. Any sharing of tokens or range balls will result in
forfeiture of membership. Any other action that is deemed to be an abuse of this privilege will
result in forfeiture of membership.
2. Membership includes unlimited range balls and access to the short game practice area. The
tokens will be handed out 6 at a time, from the Pro Shop, with presentation of the membership
card.
3. Only Cranberry Valley range balls may be used at the practice facility.
4. Please check at the Pro Shop for the hours of operation and any restrictions for the practice facility.
5. The membership year will run from May 1 st to April 30th of the following year. This membership is nonrefundable and non-transferable.