Membership Application Form

Membership Application Type*

Personal Information

Applicant's Name

First:

Middle:

Last:*

Date of Birth

Applicant's Address Information

Nominee Address Panel

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Bonita Bay Neighborhood

Dates at Local Address

Applicant's Hobbies and Special Interests

Applicant's Education Details

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Contact Information

Local Phone

Mobile Number

Northern Phone

Email Address*

Spouse/Designated User Information (If latter, please complete Designated User Form)

Spouse/Designated User Information

Click to add SPOUSE

Mobile Number

Email Address

Spouse/Designated User's Hobbies and Special Interests

Spouse/Designated User's Education Details

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Children’s Information

Please list your unmarried children under the age of twenty-three, who reside at home or are full-time students.

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Applicant's Business Information

Nominee Employment Panel

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Spouse/Designated User's Business Information

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Applicant's Activity Information

Do you play golf?

If “Yes” your USGA handicap

Do you play tennis?

If “Yes”, your tennis rating

Do you play pickleball?

Spouse/Designated User's Activity Information

Do you play golf?

If “Yes” your USGA handicap

Do you play tennis?

If “Yes”, your tennis rating

Do you play pickleball?

Reference Information

Names of Bonita Bay Club Members you know:

Reference 1

Reference 2

Reference 3

Reference 4

Please list membership in other Clubs:

Click to add information

Please list any Boards you have served on and charity/volunteer work:

List of Boards, Charity/Volunteer Work Option 1

List of Boards, Charity/Volunteer Work Option 2

List of Boards, Charity/Volunteer Work Option 3

List of Boards, Charity/Volunteer Work Option 4

Emergency Contact Information

Name

Relationship to you

Phone Number

Monthly Statement should be:

If mailed, select address for monthly statement:

Submit