Skibbereen and West Carbery Golf Club

Licknavar, Skibbereen, Co. Cork, Ireland | Tel: +353 (0)28 21227

Membership Application Form

This form can be downloaded as a Microsoft Word document

Please print this webpage (or the Microsoft Word version), complete the form, have it signed by a Proposer and a Seconder (i.e. two members of the Club of at least one year's standing) then sign and date it. Contact the Club Administrator at 028-23690 to verify correct payment amount.

Name:  
Address:  
  Home Work Mobile
Telephone:      
Email:  
Date of birth:   Day / Month / Year  
Occupation:  
If student, name of 3rd level college:  
If student, planned date of graduation:   Month / Year  

Current golf club:  
Current handicap:   Lowest handicap attained:  
Previous golf club(s):  
Current pitch & putt club:  
Current pitch & putt handicap:    

Enclosed Payment as follows
Membership Category & Annual sub    
Entrance Fee    
GUI Annual Subscription    
ILGU Annual & District Subscription    
Bar / Restaurant Loyalty Tab    
TOTAL  
  Name Signature
Proposer:    
Seconder:    

Declaration: No application by me for membership of a Golf Club has been declined. Should my application for membership be successful, I undertake to make myself acquainted with and observe the Rules and Bye-laws of the Club and the Rules and Etiquette of the game of golf.

Signature Date
   

The completed form should be sent to: The Club Administrator, Skibbereen & West Carbery Golf Club, Licknavar, Skibbereen, Co. Cork, Ireland. Your application will be posted on the Notice Board and brought forward for approval at the next Committee meeting.

Note: GUI/ILGU fees apply to ALL categories of members EXCEPT those who are members of another affiliated club which is their "home" club.