2024 Membership Application Form
Existing Members please fill out application and proceed to either sending a check in or paying online. New members please fill out this form, we will contact you within 5 business days & at that time you can then pay by mail or online. Please DO NOT pay before hearing from a board member directly. Any questions can be directed to glasshill@glasshillgolfclub.com
Sign in to Google to save your progress. Learn more
Email *
Are you a new or existing member? *
Please choose the membership that applies, or you are interested in. ** Please note that the rates increasing 4% on each membership. Also new members receive a 15% discount only on Single, Couple & Family Memberships**

Click link below to see break down of rates.
*
*Previous members wishing to upgrade his/her membership status in the following fashion: Single to Couple, Single to Family, or Couple to Family must complete this document and provide (2) two other current members names as sponsors of this application. All NEW applicants must provide (2) two current members names as sponsors with this form.


Required
First Name *
Last Name *
Complete address (Street Number & Street Name {or PO Box}, City, State, Zip Code *
Phone Number: XXX-XXX-XXXX *
Existing Members Only:
After submitting this form, existing members can submit payment to either:

Glass Hill Golf Club
PO Box 72
Barneveld, NY  13304

via the link on website under Membership & Fees

Drop off in the safe at Clubhouse (After April 13th)



How will you pay for membership? *

2024 TRAIL FEE APPLICATION

2024 Trail Fee with course event/outing use $175.00

2024 Trail Fee Owner use ONLY $200.00


I hereby agree to proper use and procedure of carts on the course at Glass Hill. I acknowledge the undersigned person(s) will be the only users (drivers) of said cart. I have enclosed or documented my way of payment for the cost of trail fees in addition to my regular membership fees. 


*

2024 TRAIL FEE APPLICATION (part 2)

I hereby agree to proper use and procedure of carts on the course at Glass Hill. I acknowledge the undersigned person(s) will be the only users (drivers) of said cart. I have enclosed or documented my way of payment for the cost of trail fees in addition to my regular membership fees. 


Please print name(s) clearly on lines below ONLY if you will be using your own personal cart at the course:

2024 TRAIL FEE APPLICATION (part 3)

Please indicate way of payment for the cost of trail fees in addition to regular membership fees. 
*
Please list all members eligible to play under membership including ages if member is a child.  (Single, High School & College memberships put N/A) Provide an email address for those members who wish to receive emails from Glass Hill Golf Club. COUPLE & FAMILY MEMBERS MUST BE FROM SAME HOUSEHOLD AND/OR A DEPENDENT ON THE CORRESPONDING MEMBERS INCOME TAX RETURNS. *
New Members: How did you hear about Glass Hill?
Member Reference/Sponsor #1-Name and Contact Info. (existing members put N/A) *
Member Reference/Sponsor #2-Name and Contact Info. (existing members put N/A) *
Please read over Glass Hill Golf Club Rules and Etiquette and type your FULL name at the bottom This will serve as your acknowledgement.

GLASS HILL GOLF CLUB RULES AND ETIQUETTE

2024 Season

1. All players must sign in at the clubhouse prior play.

2. Guests must play with a member at all times. Members make your guests aware of club rules. 

3. Persons fifteen (15) and under must be under adult supervision on club property. 

4. Each player must have their own set of clubs. Don’t play from the same bag. 

5. Proper attire must be worn at all times including no metal spikes allowed. Bare feet are NOT allowed anywhere on course at any time.

6. Members must display current year identification. 

7. Carts are to be driven by adults only (18 years and older). Only two (2) players and bags per cart and cart stickers are to be visible at all times.

8. Carts must be kept thirty (30) feet away from tees and greens. 

9. Follow cart paths as directed, especially when approaching and departing the #2 tee and #3 green. 

10. Use a ninety (90) degree rule with motorized carts when posted. 

11. Use driving range and putting green for practice. Do not practice out of the sand traps.

12. Do not take practice swings on the par 3 tee boxes.

*Anyone found not abiding by these rules will be subject to penalty decided upon the Board of Directors*

I have read and acknowledged the Rules and Etiquette of Glass Hill Golf Club. I understand the penalty that I may be subjected to if rules and etiquette are not followed.

*
*REMINDER*
New Members please DO NOT submit payment until you have heard from a Board Member at Glass Hill instructing to do so. Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Glass Hill Golf Club. Report Abuse