2019 Membership Application 2019 Membership Application Click to see more information. Upon pressing submit, you will be taken to our online store where you will select and pay for your 2019 membership. Note: YOUR MEMBERSHIP IS NOT COMPLETE UNTIL YOU HAVE PROVIDED PAYMENT. * indicates required field MEMBER INFORMATION Name:* DOB:* Home Phone:* Cell Phone:* Home Address:* City:* State:* Zip:* Personal Email:* SPOUSE INFORMATION Name: DOB: Cell Phone: Personal Email: ADDITIONAL FAMILY MEMBER INFORMATION (a dependent is an unmarried child under 19 residing with the member) (1)Name (1)DOB (1)Relationship (2)Name (2)DOB (2)Relationship (3)Name (3)DOB (3)Relationship (4)Name (4)DOB (4)Relationship New Member? Did someone refer you to join? If so, who? Handicap/GHIN # (see membership info for GHIN costs) (1)Name (1)GHIN # (2)Name (1)GHIN # MEMERSHIP POLICIES I agree to conform to and be bound by this Membership Agreement, the Bylaws and the Rules & Regulations, and the membership policies of Rocky Knolls, as they may be amended from time to time. I acknowledge that membership dues are non-refundable and non-transferable. Signature:* Date:* CAPTCHA Code:*