FAIRFIELD GOLFERS CLUB

2025 Application for Membership

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 am interested in joining the Club executive in the future: Yes ____No ____

Participation Agreement

Membership in Faireld Golfers Club (herein "Faireld") is condional upon the applicant agreeing to the following, and

by signing below indicates their acceptance and agreement.

1. I will not hold Faireld, its Directors, Ocers and Commiee Members liable for any the, loss of property, any

accident, injury, or death of or to members, their guests aending Club acvies, whether arising as a result of

negligence, breach of contract, strict liability or otherwise. Further, at any event where a member of Faireld

execuve is required to sign a golf cart waiver on behalf of all Faireld members, it is understood and agreed,

that any damage to a golf cart or golf course caused by the member or their guest, or injury occurring during the

course of any Faireld organized event, will be the responsibility of the member or their guest.

_________________________________________ _____________________

Signature Date