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Request for outing



Date ________________________


Sponsors name ______________________________________________________


Telephone __________________________________________________________


Date of event ________________________________________________________


Time of play (start & end) ______________________________________________


Number of holes ______________________________________________________


Number of players ____________________________________________________


Type of start††††† Standard __†††††††††††††††††††††††† Other facilities††† Pavilion†† __

††††††††††††††††††††††††† Shotgun__††††††††††††††††††††††††††††††††††††††††††††††††† Gas grill__

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††††††††††††††††††††Clubhouse__


No events on weekends from Memorial Day weekend thru Labor Day.


The $ 25.00 application fee that is submitted with the Request for Outing form for the use of the course and /or facilities will be refunded, provided the clean up of the course and /

or facilities is status quo per the Superintendent.


The applicant must remove all trash from the premises.


Requests must be submitted for approval at least 30 days prior to the event.


Other members may use the course during the event.


Play must be confined to the time and number of holes listed on the application.


If a Club Memberís cart is used, the borrower must be the individual using the cart and is responsible for the return of the cart in the condition in which it was borrowed.The borrower should provide written consent of the cart owner to the event chair person.


Board of Directors approval ___________________________________________

†††††††††††††††††††††††††††††††††††††††††††††††††††††† (signed)†††††††††††† ††††††††††††††††††††††††††††††††††††††††††(date)


Revised 10/01, 2/02, 4/03, 6/10