Membership Form

Please fill in the information below

* Indicates required field

Full Name *

First

Last

Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of birth *

Home Phone Number *

Mobile Number *

Current Golf Club (If Applicable) *

Current Handicap (If Applicable) *

Current CDH Number (England Golf Number- WHS) (If Applicable) (YOU MUST LET US KNOW YOUR CDH NUMBER, FAILURE IN THIS CAN RESULT IN DELAYED HISTORICAL SCORES BEING TRANSFERED) *

Do you agree to Rubicon Leisure contacting you about their other venues for events, promotions and news? *

Yes No

Do you agree to Pitcheroak contacting you about tee times as well as events, promotions and news? *

Yes No

Do you agree to Kingfisher Golf Club contacting you about handicaps, events, promotions and news? *

Yes No

Please tick the box below, for your electronic signature *

Click here

Submit your application form

Membership Fee is £50 (For the season)

(Season to start on April 1st 2022 and run to the 31st March 2023 )

How to pay

You can either pay in the club shop (Either cash or debit/ credit card) or we will send you details on how to bank transfer

Club Membership Form

Please fill in the information below