Golf Club Hluboká nad Vltavou Membership Application

First name:*

Last name:*

Birthdate:*

Membership Selected:*Full individual membershipFull individual membership seniors aged 60 years and overFull individual membership youth under 18 years of ageFull individual membership students under 26 years of ageMembership "BASIC Combi"Membership "Public"Annual second membershipMaintenance fee

Address:*

City/town:*

Postcode:*

Phone number:*

e-mail:*

Is any of your family members a member of the Golf Club in Hluboká nad Vltavou?

 Yes:No:

his/her first name and surname:

I am a member in another club.Yes:No:

The Club name and number:

I am a holder of Green Card.Yes:No:

Certificate date:

HCP.

Comments:

The applicant for Golf Club Hluboká nad Vltavou membership hereby affirms that he/she has thoroughly read the Constitution of the Club /Stanovy/ as well as other applicable rules of the Club, which he/she undertakes to abide by and observe. Furthermore, the applicant acknowledges the member fees applicable as to date.

Yes: 

I hereby declare my consent with the processing and keeping record of my personal data as per Act 101/2000 Coll., as amended, and with the use of my birth certificate number pursuant to Act 133/2000 Coll., as amended, for the needs of the club. I hereby give my consent and authorization for the Golf Club Hluboká nad Vltavou to provide the above personal data to the central records of Czech Golf Federation and the respective regional association of ČSTV (Czech Union of Physical Education and Games).

Yes: