Application Form for Fairfield Golfers Club

Name__________________________ Phone_______________

Street__________________________ City_____________________

Postal Code_________ E-Mail________________________________

When golfing, whenever possible, I prefer to:Walk___Ride___

This year I will play:the Forward tees___ the White tees___

I may be interested in joining the Club executive in the future:Yes___No___

I am an Alumni member only, with a Fee of $10.00: Yes___ No___

Membership Fee is $75.00. Please make your cheque payable
to Fairfield Golfers Club, and mail with this completed form to:

Neil Jamison,
15 Fieldstream Chase,
Bracebridge, Ont. P1L 0B1

PARTICIPATION WAIVER

Membership in Fairfield Golfers Club (herin "Fairfield") is conditional upon the applicant agreeing to the following:

1. I will not hold Fairfield, its Directors, Officers and Committee Members liable for any theft, loss of property, any accident, injury, or death of or to members, their guests attending Club activities, whether arising as a result of negligence, breach of contract, strict liability or otherwise. Further at any event where a member of Fairfield executive is required to sign a golf cart waiver on behalf of all Fairfield members. I understand and agree that any damage to a golf cart or golf course caused by me or my guest, or injury occurring during the course of any Fairfield organized event, will be my responsibility.
2. I consent to emergency medical treatment in the event of injury or illness during any Fairfield Golfers Club activity or event.
3. I agree to abide by the Constitution, rules, etiquette and spirit of Fairfield.