2021 MEMBERSHIP APPLICATION

Date Referred by ______

Member Name E-Mail __ DOB / /____ Spouse's Name E-Mail __ DOB / /____ Home Address Business Name (Member) City _____ County State _____ Business Address Zip Phone City State Driver’s License # Zip Phone SEND MAIL TO: ( ) Personal Address ( ) Business Address Emergency Contact ______Phone ______Relation ______Child's Name Date of Birth / / Student ( ) Y ( ) N Child's Name Date of Birth / / Student ( ) Y ( ) N Child's Name Date of Birth / / Student ( ) Y ( ) N Membership Classification: (private carts owners will choose one of the following two options plus private cart fee) ( ) Single Annual Pay $480.00 ( ) Single Golf Monthly Pay $45.00 (per month) ( ) Family Golf Annual Pay $575.00 ( ) Family Golf Monthly Pay $50.00 (per month) ( ) Single Student Golf Annual Pay $75.00 (Available to 6th-12th grade students not on a family membership) ( ) Young Professional Annual Pay $150.00 (Available to College/Trade School Students or active Military under 23)

( ) Single Annual w/Osage Cart $805.00 ( ) Single Golf w/ Osage Cart $72.50 (per month) ( ) Family Annual w/Osage Cart $930.00 ( ) Family Golf w/ Osage Cart $85.00 (per month) ( ) Young Professional w/Osage Cart $475.00 ( ) Young Professional w/Osage Cart $45.00 (per month) *Does not guarantee sole usage of Osage City cart. *Cart Sharing may be required by personnel.

Private Cart Trail & Shed Fee (must be paid in one lump sum at time of joining) This fee to be added to Membership Fees in the upper categories (not additional to the Osage Trail/Cart Fees) ( ) Cart Shed Rental $175.00 Shed # ______

I, the undersigned, hereby apply and subscribe for a membership in Osage City . I agree to pay for the membership fees indicated below. I also understand that if I choose the monthly billing option for membership dues, that I will be required to maintain my golf membership unit for a minimum of 1 (one) year(s), from my effective date.

Terms: Cash ( ) Amount Enclosed: $ ______(checks payable to Osage City Country Club)

Total amount of Membership Dues and Fees: $______

(For Internal Use Only) - Monthly dues: $ / First Month pro rata: $ ______

Credit Card Guarantee ______Expiration ______CVV2,CID,CSC______

MEMBERSHIP AGREEMENT I agree that upon application to the Club, a valid and binding contract between the Osage City Country Club and I will be effected, and I do further agree to be bound by rules, regulations, by-laws and policies of the Club now or hereinafter in force. I agree to abide by Kansas laws pertaining to Alcohol Beverage Control and to this Club. It is understood that I incur no liability for any of the debts or obligations of the Club, or of the Entity owning the Club, and that I have no interest whatever in any of the assets of the Club, except such rights and privileges as are granted by the ownership of my membership unit. The applicant acknowledges liability for payment of all dues and fees incurred by the undersigned family and guests. If my membership dues account becomes past due it is understood that my account will be charged using my credit card guarantee and a finance fee equal to 1.5% per month on the past due balance. I also agree to pay all reasonable attorneys’ fees, court fees and other expenses incurred in connection with the collection of my delinquent account. It is understood my membership is recallable as set forth by the rules and regulations of the Club. It is further understood that this membership is NOT transferable or refundable without the approval of the club.

Applicant's Signature ______Date ______Spouse's Signature Date ______Osage City Golf Representative Date ______

Welcome to Osage City Golf Club!

1. We are not owned by GreatLife – We are an affiliate! 2. We have reciprocal play at GreatLife courses & from GreatLife courses. 3. We don’t reciprocate members in a 25mile radius of OCGC (must belong to OCGC to play) 4. Unlimited cart & range passes Do Not apply. 5. We reserve the right to limit play from reciprocal members. 6. A list of GreatLife courses can be found at (GreatLife golf courses) The number and price of membership opportunities and the amount of monthly dues in each classification are subject to revision at any time without notice at the discretion of Osage City Country Club. Memberships are non-proprietary; therefore, a member would not own the assets or be liable for the debts and obligations of the Club. Membership carries only an entitlement to use of facilities and participation in Club activities. The Club is an organizational name only, with all the property owned by and all club activities directed by and under the control of the City of Osage City. Members will not acquire any interest in a security as defined by K.S.A. 17-1252(I), 15 U.S.C. 77(b) or otherwise, or any interest in land as considered in K.S.A. Chapter 58, Article 33, or otherwise. Memberships are not for sale or transferable. Membership category purchases, ancillary amenities and monthly dues may be subject to state and local sales tax. ALL MEMBERSHIPS UNITS ARE NON-REFUNDABLE.

2021 New Member/Referral Program

If you are a new member (new members are anyone who has not been a member in the past 12 months) or if you have referred a new member to Osage City Golf Club you will receive 25% off the dues portion of your membership. See chart below to evaluate your savings. Thank you for helping grow the club!

Member Name:______25% (New/Referral) Membership Breakdown Annual Monthly Single Golf $360.00 $33.75 Family Golf $431.25 $37.50

Single Golf w/Osage City Cart Package $685.00 $60.75 Family Golf w/Osage City Cart Package $806.25 $68.75

· Osage City Golf Club ·

The Osage City Municipal Golf Course was built in 1941. Grass greens were added in 1974, New Clubhouse built in 1994, and 2020 new irrigation system.

Golf Course mostly concrete cart paths, full course irrigation system, practice putting green, , and nine holes of championship golf spanning 3,144 yards consisting of two threes, five par fours, and two par fives surrounding the picturesque Osage City Lake.

Contact Information For more information about the golf course, country club hours, membership fees, and golf tournaments, contact the Golf Course Manager at 785-528-3329 cell (785-214-9093)

This application may be returned to: Osage City Golf Club, 1401 S 4th St. Osage City, Kansas 66523