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Applicant Information
Name
First
Last
Email
Phone
Birth Date
MM slash DD slash YYYY
Address
Street Address
City
State
ZIP / Postal Code
LinkedIn Profile URL
Existing golf club membership (if applicable)
Membership Information
Why do you want to join The Killearn Club, and what could you add to the community?
How did you hear about The Killearn Club?
How would you use The Killearn Club? (Select all that apply.)
Practice facilities
Golf lessons
Club fitting
Course play
TrackMan Simulators
TrackMan range / Driving range
Tournaments
Food & drink
Pool
Pickleball
Tennis
Networking
Meetings
Private events
If accepted, which membership are you interested in? (You can change this later.)
If accepted, who else will be on your membership (family or individual only)
Additional Questions
Tell us about the best golf shot you’ve ever hit.
If you pick a fantasy foursome, real or imagined, dead or alive, who would it be, and why?
Walk us through your golf journey – why did you start playing, how often do you play, where do you play?
Personal Reference
This does not need to be a current member of the club. It can be anyone who knows you well and can speak to your character.
Name
First
Last
Email
Phone
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