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2013/14 RENEWAL

APPLICATION I have carefully read this agreement, and I know and June 1, 2013 to May 31, 2014 understand what it means. My signature is my own free act, CONDITIONS OF MEMBERSHIP and I intend it to be legally binding on me. All individuals 760-249-4675 listed on this application agree to abide by the rules and regulations of the Wrightwood Country Club. Violations of Website: www.wrightwoodcountryclub.com for news and info. rules will be an automatic suspension or a forfeit of email: [email protected] I. Membership of the Club shall consist of families or single persons membership. over the age of 18 years. Please fill in your six digit wt. room code. ______* II. No member shall have any proprietary interest in or to any assets of (Must be filled in to renew your code or to change code) the Club. III. No member shall have the right to transfer his membership. Membership fees are payable on an annual basis and there shall be no Gate codes are available from the Gate Keeper refunds for cancellation. IV. Each member in good standing shall have the right to use the starting June 1, 2013 ______facilities of the Club subject to the rules and any regulations that may be adopted from time to time by the Board of Directors of the Club. Engaging Membership Name: ______in profane or disruptive conduct, violation of any rules or regulations or failure to pay when due any amounts owed to the Club may subject the Mailing Address: ______member to expulsion or suspension of his or her Club privileges, as determined by the management. Physical Address:______V. Family $575.00 per year, for a married couple with or without children residing in the same household. Single $340.00 per year, for City: ______St: ____ Zip: ______individuals over the age of 18. Extended Family $670.00 per year, to include parents, children, or grandchildren who live outside the tri- Phone: ______Emergency #: ______community. Limited to 10 people. VI. Minor children under age 12 must be supervised by a responsible We email a few times per year to keep you informed on adult. activities. If you would like these emails please enter address. VII. The Club, a privately owned corporation, may refuse membership to any person. Email: ______VIII. The Club shall not be liable to any member, his family or guests of a member, for any loss of or damage to property (including any automobile, All persons 18 years old and over must sign this motorcycle or bicycle) or for personal injury or death, suffered on the application. Application will not be processed if any Club’s premises. Each person hereby waives any claims thereto and releases the Club and its owners and management from any and all signatures are missing. liability in connection therewith. IX. The initiation fee for joining this Club shall be the sum of $100.00, LIST YOURSELF AND YOUR CHILDREN IN THE payable when presenting an application for membership. All new HOUSE members and any returning members who let their membership lapse (no brothers, sisters, nieces, nephews, boyfriends, girlfriends, shall pay this fee. or significant others, etc.) X. A guest must be known to and accompanied by a member in good standing at all times, year round. Guest passes will be sold to members in Print ______Signature ______good standing at rates and quantity as determined by the Board of Directors. XI. Any damage done by a member, or his guest, to Club property shall Relationship __self__ Age ______be the responsibility of that member. XII. Membership in this Club shall be purely social and the season for the Print ______Signature ______operation of the Club will be on a year-round basis. XIII. I authorize any emergency medical treatment Relationship _spouse___ Age ______deemed necessary for myself and my family while on the grounds of the Club. Print ______Signature ______XIV. You are responsible for reading and knowing the rules of the weight room. They are posted in the room. Guests and children are not permitted in Relationship ______Age ______the weight room facility at any time. Suspention of membership will be imposed for violators. Print ______Signature ______First time users must attend an orientation to the fitness center. Applicant, on behalf of applicant and his/her family members agrees to defend Relationship ______Age ______and hold harmless Wrightwood Country Club, its directors, employees, shareholders, officers and agents free and harmless from and against all costs, claims and actions arising from personal injuries, property damage or other Print ______Signature ______damages that may arise from or alleged to be caused by the applicant’s use or occupancy of the premises, whether such claim is caused by negligence of the Relationship ______Age ______Club or otherwise.

Annual Dues: Print ______Signature ______

Discount if paid by May 1, 2013 Ext. Family $603.00 Relationship ______Age ______For returning members only Family $518.00 Single $310.00 Print ______Signature ______Payment if paid after May 1, 2013 Ext. Family $670.00 For new and lapsed members Family $575.00 Relationship ______Age ______Single $340.00

Initiation Fee for new members Print ______Signature ______or if paid after June 1, 2013 $100.00 Relationship ______Age ______Amount Enclosed $ ______We would prefer cash or checks. CHECK # ______or electronic check by e-banking ______Print ______Signature ______Relationship ______Age ______If you would like to pay by Credit Card, please stop by the office. Send payment to: WRIGHTWOOD COUNTRY CLUB BACK SIDE: P. O. BOX 1986 WRIGHTWOOD, CA 92397 Interest shall accrue at 10% per annum on any amounts unpaid when due. Member agrees to reimburse club cost of collection including attorneys’ fees. Revised 2/1/13 Signatures and List of Extended Family Members, ages, and their addresses. Incomplete app. will be returned. Limit 10 (Children, grand children, & parents only),

****Please MAKE A COPY for your records****

All persons 18 years old and over must sign this application. Application will not be processed if any signatures are missing.

1. Print ______Signature ______Address ______Relationship (son, daughter, son in law, daughter in law, grandchild, parent or grandparent only) Age____

2. Print ______Signature ______Address ______Relationship ______Age ___

3. Print ______Signature ______Address ______Relationship ___Age ___