CATARAQUI GOLF & COUNTRY CLUB
APPLICATION FOR MEMBERSHIP - CURLING
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Email *
Applicant's Full Name *
Applicant's Date of Birth *
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Home Postal Address
Street , Unit #, Street, City, Province, Postal Code
*
Business Name  / Occupation
Business Postal Address
Street , Unit #, Street, City, Province, Postal Code
Membership Application Category
Please select one. You will be asked to select your leagues on a separate form.
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Required
As part of joining an active Golf and Country Club, many ways are available to integrate within the membership - one being within committees. Cataraqui Golf and Country Club has Board Committees and Operating Committees that are welcoming new volunteers. If you would like to join a committee, please select the committee to which you would like to contribute.
Agreement
I confirm that I have read, understood, acknowledge, and agree, on behalf of myself and all persons concerned with my membership the following terms and conditions:
1.Member Account:
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Required
2.  Annual Auto-renewal:

Further, I understand and accept that my membership and all associated fees, dues, accounts, and assessments will be automatically renewed each 12 months (based on the billing date of my membership category) unless I inform the Chief Operating Officer, in writing, that I will be resigning or changing my membership status. If I am changing my membership status or resigning my membership, I acknowledge and accept that the change in status must follow Club policy in effect at the time of the status change.
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Required
3. Entrance Fees and Deposits:
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Required
By- Laws, Policies, and Code of Conduct

Please click the hyperlinks below to familiarize yourself with Cataraqui's
 By-Laws, Policies, and the Code of Conduct
4. I have read and understood the By-Laws, Rules and Regulations and Code of Conduct of the Club  *
Required
5. Breach of By- Laws, Rules, Regulations, & Code of Conduct
Any breach, by me, of any of the foregoing, is grounds for termination of my membership and, that in such event, I shall not be entitled to any refund of fees, dues, accounts, or assessments paid
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Required
Authorization to Release Information

I request and authorize The Cataraqui Golf and Country Club, Limited to release the following information:
Name
Postal Address
Phone #(s)
Email Address

This request and authorization apply to:
* The Club Roster
* “Member Only” sections of the Club website
* Internal Communications (e-blasts, Cataraqui Magazine, Cataraqui Chronicle)
* Social Media
* Bulletin boards and internal notices & advertising
* GAO and OCA
Please type your  information in the space below:
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Release:
I hereby allow The Cataraqui Golf and Country Club, Limited to publish annually, until at such time whereby my consent is retracted in writing, information including telephone numbers, addresses, and e-mail addresses to other members of the Club for their personal use only.
II understand that this authorization remains in effect until rescinded in writing.
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Required
Waiver of Liability:
I exonerate the Club from any liability for loss or damage to any personal property kept or left by me on Club property, or any personal loss, damage or injury sustained by me on or about the Club property, or whether such loss, damage or injury occurs by reason of any act or omission of any employee, agent, member, or guest of the Club or otherwise.
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Required
*NOTE: A recent digital image bearing your likeness must accompany your application.  Please send your photo  (headshot)to receptioncataraqui.com 

Terms and conditions are subject to change without notice.
A copy of your responses will be emailed to the address you provided.
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