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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.