Victoria Park Valley Golf Club Application for 2019 Membership

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Victoria Park Valley Golf Club Application for 2019 Membership 7660 Maltby Rd. East, Puslinch N0B 2J0 (519) 821-1441 Name: (Please Print all Membership Information) Address: City: Home Phone #: Email: Postal Code: Business#: Birthdate: / / (Mo.) (Day) (Yr.) Emergency Contact Name: Telephone Number: Full Memberships includes unlimited play, GAO Membership & Indexing, Pull Cart, Hole-In-One Insurance, and 2 Complimentary Rounds at Victoria Park East Golf Club. Adult $ 1,650 Senior $ 1,595 Age 19 64 as of April 1,2019 Age 65 and over as of April 1, 2019 Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the back page. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form. Couples (Adult) Full Membership *See Full Membership category for inclusions Take 10% Off the golf portion Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the below. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form. Weekday Membership includes unlimited play Monday to Friday, Holiday Mondays after 12:00 pm, GAO Membership & Indexing, Pull Cart, Hole-in-One Insurance and 2 Complimentary Rounds at Victoria Park East Golf Club. $1,360 Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the below. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form.

Weekday Couples Membership includes unlimited play Monday to Friday, Holiday Mondays after 12:00, GAO Membership & Indexing, Pull Cart, Hole-in-One Insurance and 2 Complimentary Rounds at Victoria Park East Golf Club. Take 10% off the golf portion Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the below. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form. Junior Membership (age 18 or under as of September 1) includes unlimited play Monday, Tuesday, Thursday & Friday. Wednesday before 2:00 p.m. or after 6:30 p.m. Saturday, Sunday and Holiday Mondays after 12:00pm; GAO Fees & Indexing, Pull Cart, clinics and field days, and 2 Complimentary Rounds at Victoria Park East Golf Club. $540 Premium Junior Membership As above, and includes a 50 Token Range Package $640 Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the below. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form. Family Membership: 2 parents purchase either a Full or Weekday Membership, see Full and Weekday membership details above, and up to 2 children play free. Children must be age 18 or under as of September 1. See Player Privileges for Juniors above. More than 2 children additional children pay the Junior Membership rate. Please check the items that apply to your Membership and place the totals on the lines provided on the Remittance Form. There are additional services listed on the below. Applicable taxes are included in prices quoted. If you are paying in full on or before January 15 th, please subtract the early payment discount from the total. You will find the discount amounts and payment details on the Remittance Form.

Additional Services Available to Members (based on availability) Club Storage Storage, Club Cleaning and use of Pull Cart $118.40 Storage, Club Cleaning and Power Caddy or Pull Cart Storage $145.30 Junior Club Storage & Cleaning $50.00 Powercart Packages 10 Round 9 Holes $ 85.00 20 Round 9 Holes $160.00 40 Round 9 Holes $315.00 Seasonal 9 Holes $610.00 10 Round 18 Holes $140.00 20 Round 18 Holes $255.00 40 Round 18 Holes $495.00 Seasonal 18 Holes $895.00 Range Membership 10 Tokens $ 48.00 20 Tokens $ 85.00 40 Tokens $ 150.00 100 Tokens $ 320.00 250 Tokens $ 600.00

Remittance Form Please return with payment to: Victoria Park East Golf Club, 1096 Victoria Road South, Puslinch, Ontario N0B 2J0 (519) 821-2211 Fax: (519) 821-3039 Email: info@victoriaparkgolf.com Website: www.victoriaparkgolf.com Victoria Park East Victoria Park Valley Combined Please Check for Early Payment Discount Option ( ) Payment in full with early payment discount of 3% on Golf portion of Membership if paid by January 15, 2019 Discount Amounts per Membership Category are listed below: Full $ 42.14 Senior $ 40.68 Junior $ 12.93 Weekday $ 34.57 2019 Membership Dues = $ subtract discount - $ add extra services + $ add extra service + $ Total Dues $ Please Check Method Of Payment ( ) Post-Dated Cheques for January 15, February 15, March 15, April 15, May 15, and June 15, 2019 Deposit of $500 (Juniors $200) on/before January 15, balance due April 15, 2019 Pre-authorized Credit Card Payment(s) January 15/19 $ April 15/19 $ February 15/19 $ May 15/19 $ March 15/19 $ June 15/19 $ Your Membership Dues Will Be Billed To Your Credit Card On The Dates Indicated Above In Equalized amounts. Credit Card Information: Visa Mastercard American Express Credit Card Number Expiration Date Cardholder Name With my signature I authorize Victoria Park Valley Golf Club to charge my Credit Card for the above amount(s). Signature Please sign for pre-authorized payments Date The Club will not be responsible for any injuries incurred while on the premises. All Members are required to obey the rules of golf, all local rules as set by Victoria Park Valley Golf Club, as well as the policies and procedures outlined in the following pages. The Management reserves the right to cancel any membership for any just reason. I have read and accepted all of the above information. Signature Please sign Membership 2019 Date

Club Policies & Procedures General Playing Rules Royal Canadian Golf Association rules of play govern except where local rules as indicated on the scorecard, or posted on the golf course, shall apply. Starting Times for Golf Full Members may book either by phone, on-line or in person. Each member is only able to book 1 tee-time. Full Members may book tee-times 7 days in advance of any weekday. (East Course Full Members should advise the Pro Shop of their preferred week-end tee time early in the season. We will do our best to accommodate it as close as possible this will become your weekend tee-time for the season.) Otherwise you may book a weekend tee-time on the previous Friday. Weekend tee sheets are done 8 days ahead so your time can be confirmed on Saturday for the following weekend. Also, this will give you the opportunity to inform us if you can t play the following weekend-this is very important because it will allow us ample time to adjust the tee-sheets and accommodate more players. All players must register in Pro Shop prior to tee -time. Please call if you will be late. Your group will proceed without you. Weekday Members & Juniors may book tee-times 7 days in advance of any weekday. Dress Code Acceptable Golf Course Attire Golfers must be properly attired at all times. Shirts with collars, turtlenecks and mock turtlenecks are acceptable. Bermuda style or shorts of a respectable length are acceptable. Ladies: Golf skirts, skorts and tailored pants may be worn. Men & Ladies: Tailored denim jeans (providing they are clean, unpatched, and untorn) are acceptable. Approved spikeless golf shoes or any other flat athletic shoes are acceptable. Unacceptable Mesh shirts, muscle shirts, any attire with offensive writing or graphics is not permitted. For ladies, halter tops and tube tops are similarly inappropriate. Gym shorts or cut-offs, track and sweat suits are inappropriate. Absolutely no soccer or baseball shoes allowed. Code of Conduct In everyone s best interest, and to maintain an environment of Fair Play, Victoria Park Golf Club expects all members to abide by the common-sense etiquette that is typical of the sport of golf. Our professional staff will gladly answer any questions, or provide guidance, regarding etiquette and the basic rules of golf - if you are unsure, please ask! Any member whose conduct is considered by Management to be unbecoming, who willfully commits a breach or violation of any policies of the club may be expelled from membership. The member shall be provided with written notice of the conduct or circumstances and will be given an opportunity to respond. Any member who engages in behavior that is likely to result in property or equipment damage, or endanger the safety of its employees, members or guests, will be expelled immediately and will not be entitled to a refund or credit of membership fees. Practice Policy In order to keep our golf course in the best condition possible throughout the golf season, practicing on the golf course is prohibited. Our practice facilities are available for your use.

Hole-in One Insurance All Adult Members will contribute an annual fee to the Hole-in-One Insurance fund, as part of their Membership. The fund was established to provide a drink, alcohol or otherwise, to members who are present at the golf course when a member gets a hole-in-one. You may claim one drink per hole-in-one: regular domestic 355 ml can of beer, one regular glass of domestic non-premium draught beer, one mixed drink of a regular bar shot of alcohol, one 6-oz glass of wine, or one soft drink. Please obtain a special Hole-in-One ticket from the pro shop, and these tickets can be redeemed in the Clubhouse (not from the beverage cart) only on the day of the hole -in-one. Membership Payment Victoria Park offers several options for payment. All membership payments must be submitted and complete by June 15th. Any outstanding membership amounts after this date will be considered in arrears, subject to interest charges, and may result in suspension of golfing privileges if arrangements are not concluded with the Office. Member Account Charges & Payments Members at Victoria Park Golf Club have the benefit of charging Pro Shop purchases, guest green fees, range tokens, power cart rental fees, or food and beverage items, to their personal account. It is the Member s responsibility to sign a receipt for all charges prior to leaving the Pro Shop or Golfers Lounge. Entry fees for tournaments or other member events are permitted as chargeable items. Winnings from Field Days and weekly League Days will no longer appear as credits on member s accounts. These winnings will be tracked manually by Pro Shop staff and can be applied to Pro Shop purchases, guest green fees, range tokens and power cart rentals. Winnings are good for the current calendar year only, and cannot be carried over to the following season. Monthly statements will be emailed out to members (or available for pickup in the Pro Shop) with a non-zero balance, on or about the 10 th of each month. Full payment of all charges to accounts are due by the end of the following month. Outstanding balances are subject to interest charges of 2% per month. Any discrepancies should be reported to the Office Manager. Refund Policy Victoria Park Golf Club will refund the amount of membership paid under the following conditions: 1) grace period no golf is played between start of season and April 30th 2) the member is relocating to a distance of beyond 100 km radius from the golf course 3) the member sustains an injury/illness, with no chance of return to golf during the season and provides medical documentation to that effect. **Important: Please notify us immediately if your injury causes you to suspend golfing.** 4) the member becomes deceased. Refunds will be issued in the following manner: a) from the start of the golf season to April 30 th (grace period) if no golf is played, a full refund minus the $100 administration fee will be issued b) from the start of the golf season to April 30 th if rounds are played, we will multiply the number of rounds by the regular public green fee rate, plus the $100 administration fee and subtract from the membership fee paid, or added to the deposit if the amount is in excess. c) from the start of the golf season to July 30 th we will multiply the total number of rounds played by $30 for full members, or by $25 for weekday members plus $100 administration fee and then subtract from the golf portion of the membership fee. No monetary refunds will be issued after July 30 th.

Refund Policy (continued) Extenuating circumstances: After July 30, the refund amount will be applied to either the next season s membership, or converted into game cards. Please note that membership privileges and services are forfeit if the game card option is chosen. With the exception of (a) above, the refund will be on the golf portion of the membership only. No refunds will be given on additional services such as club storage, lockers etc. Change of Membership Classification Members wishing to change from one type of membership to another should first check with Management to ensure space is available in another category. Victoria Park will do its best to accommodate these changes. Victoria Park Golf Club Privacy Policy Commitment to Your Privacy Your privacy is important to Victoria Park Golf Club and this policy is our commitment to the protection of your privacy and any personal information you disclose to us. Collection and Use of Personal Information We collect personal information such as name, address, home and business telephone number, email address, emergency contact person, date of birth and credit card number. We collect this information from you when you complete the application for golf membership at Victoria Park Golf Club and use this information to identify and provide you with membership services. Disclosure of Personal Information We do not sell information about our customers to others. Your personal information is a vital part of our ongoing business relationship with you. We do: disclose your name and membership category to the GAO (Golf Association of Ontario) for the purpose of generating your index (handicap) card disclose your name to Professionals working with us ie. Accountants, Lawyers if it is necessary If you choose to opt out of the above disclosures, your signature is required on a waiver form provided by the club. However by doing that, depending on the situation, you may be limiting or preventing our ability to provide you with the service you desire. Safeguards, Security and Consent In order to protect your personal information and right to privacy, we will: Not collect, use or disclose your personal information for any purpose other than those that we identify to you Keep your personal information as accurate and complete as possible Safeguard your personal information Respond to any request you make to access or correct your personal information that we have on file Obtain the appropriate consent from you for the collection, use, or disclosure of your personal information We may obtain your express consent or we may determine that consent has been implied by the circumstances. We might ask you for your express consent in writing, for example in a signed consent or application form. We may ask for your express consent in person or over the telephone. We may determine that by seeking a membership with Victoria Park Golf Club, your consent has been implied for us to deal with your personal information in a reasonable manner. If you would like to review your own personal information, correct or revise existing information, or if you have any questions, concerns or comments regarding this Privacy Policy or its application, please contact Louise DeCorso at (519)821-2211 or email: louise@victoriaparkgolf.com.