HOODKROFT COUNTRY CLUB P.O. Box 266 Derry, NH 03038-0266 2015 APPLICATION FOR MEMBERSHIP I. Indicate your Membership type from the following categories (check one): __________ 4. __________ 1. Full Family __________ 5. __________ 2. Senior Couple __________ 6. __________ 3. Full Single ___________ 7. II. Are you a stockholder? _____ If yes, what is your certificate #: ________. III. Please fill out the following: Name ________________________________ First MI Last Spouse’s Name ________________________________ First MI Last Weekday Single Senior Junior Junior Modified Date of Birth** ___________ (**required for a Senior Membership) Date of Birth** ___________ (**required for a Senior Membership) Mailing Address _______________________________________________________________ Street City State Zip Telephone # _____________ E-Mail: _________________________________ If applying for a Family membership with children, please provide the following: Name __________________________ IV. Date of Birth ___________ Please indicate if you would like a handicap? _________ ($30.00 additional Charge) If new member please provide GHIN# _____________ I shall be personally responsible and liable for the conduct and acts of my family and guests while they are at Hoodkroft Country Club, and I shall be held responsible for infractions by them of the terms of this application and the published rules of the Club. I understand that the Hoodkroft golfing season runs from April 1 and November 30 of each year. In the event that my membership is suspended or terminated for infractions of the published rules or for breach of the terms of this application, it is understood that I shall not be entitled to a refund of my fees for the period of such suspension, nor shall I be entitled to a refund of the fee in the event of termination . ___________________________________________ Signature __________________________ Date HOODKROFT COUNTRY CLUB 2015 MEMBERSHIP CATEGORIES 1. Full Family Membership. This is a two (2) person membership limited to the following: a husband and wife, a father and child, or a mother and child. A child is defined as a son or daughter eighteen (18) or less or nineteen (19) to twenty-three (23) years of age, if attending day school beyond the high-school level as a full-time student. The cost for each additional child is $248. (Junior Status applies) Privileges include use of all club facilities seven (7) days a week, advance weekend and holiday tee times. 2. Senior Couple Membership. Couple membership – either married person being sixty-two (62) years of age or older. Privileges include use of all club facilities Monday through Friday (except holidays). 3. Full Single Membership. Any person eighteen (18) years of age or older. Privileges include use of all club facilities seven (7) days a week, advance weekend and holiday tee times. 4. Weekday Single Membership. Any person eighteen (18) years of age or older. Privileges include use of all club facilities Monday through Friday (except holidays). 5. Senior Membership. Any person sixty-two (62) years of age or older. Privileges include use of all club facilities Monday through Friday (except holidays). 6. Modified Junior. Any person age nineteen (19) through age forty (40) not attending day school beyond the high-school level as a full-time student . Privileges include use of all club facilities seven (7) days a week, advance weekend and holiday tee times. 7. Junior Membership. Any person age eighteen (18) or less attending high school, or nineteen (19) to twenty-three (23) years of age, if attending day school beyond the high-school level as a full-time student. Privileges include use of all club facilities seven (7) days a week. ** Tee time privileges for Junior members and for Extra child included on a Full Family Membership (see 1 above) are restricted to play after 1:00 PM on Saturday, Sunday and holidays. 2015 MEMBERSHIP RATES (Please make checks payable to: Hoodkroft Country Club, P.O. Box 266, Derry, NH 03038) NON-Stockholders Stockholders Rate (Must own a share of stock) Membership Categories Regular Rate Early Discount Rate PAY BY DEC1 Early Discount Rate PAY BY DEC. 1 Discount Pay by Jan. 15 $2,225 $2,100 $2,125 $1,750 Regular Rate New Member Promotional Rate** Full Family $2450 $2,325 Early Discount By JAN 15 $2,375 Senior Couple (Weekday) Full Single $1,850 $1,750 $1.775 $1,655 $1,555 $1,580 $1,350 $1,550 $1,450 $1,475 $1,400 $1,300 $1,325 $1,100 Weekday Single $1,200 $1,100 $1,125 $1,085 $985 $1,015 $875 Senior Weekday $1,150 $1,050 $1,075 $1,025 $925 $950 $825 Modified Junior (Age 19 thru 40) $875 $875 $875 $875 $875 $875 $875 Junior $399 $399 #99 $399 $399 $399 $399 **Promotional first year rate is available to persons who have not been regular within the prior three (3) years. Backroom members are eligible for full membership thru this promotional rate. Preferred members may upgrade to full members at the first year discounted rate one time only. The promotional first year rate cannot be combined with any other early payment or stockholder discounts and must be paid in full prior to taking effect. (The cost is $248 – for each additional child) (No discount) * If you are interested in becoming a Stockholder and would like to purchase a share of Hoodkroft Country Club ($500.00) stock, please call the office for details. 2015 HOLIDAYS Monday 25, May , Memorial Day, Saturday, July 4, Independence day, Monday, September 7, , Labor Day (For holidays, weekday members must pay green fees at weekend rates.) Season dates: April 1 thru November 30