2022 Membership

Application

Please Initial Type of Membership Desired

Regular Membership – Initiation $1,000. Monthly Dues $350; food & beverage minimum of $100 per month; includes use of pool.

Junior Membership – Initiation $1000, Dues vary by age until 40th birthday; food & beverage minimum of $85 per month; includes use of pool.

Corporate Membership – This membership is designed for multiple memberships from one business or corporation.

Non-Resident Membership – Initiation fee of $500. Must reside more than 60 miles from VCC for at least 8 months of the year. Annual fees for one golfer $860. If spouse is included $1,300. Annual dining minimum of $350. Includes golfing, dining, and option for pool.

Social Membership – Initiation $500. Dues are $60 per month; food & Beverage of $85 per month. Includes option for pool and limited golf.

Dining Membership – Dining privileges without dues or monthly minimum. No pool or golf available with this membership.

Preview Golf Membership – $1,200 provides limited opportunity for golf with no initiation or dues; no use of pool.

Path-To-Membership Promotion (40 & Over) – See details on Membership Options Description Page.

Path-To-Membership Promotion (Under 40) – See details on Membership Options Page

Please include your initiation fee with your application

Golf Members (Regular/Junior) requires an annual fee for:
1 club storage fee, 1 locker fee, & 1 range fee

Celebrating 100 years of Superior Golfing and Social experience!

Member Information

Please complete all information

Member Name

Date of Birth: *

Residence Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

E-mail Address:

Employer:

Business Address:

Business City:

Business State:

Business Zip:

Business Phone:

Family Information

Spouses Name:

Date of Birth: *

Children’s Names:

Date of Birth: *

Children’s Names:

Date of Birth: *

Children’s Names:

Date of Birth: *

Wedding Date (M/D):

Previous Club History

Are you now or have you ever been a member of VCC or another club?

Yes

If so, Name of Club:

City:

State:

Dates of Membership:

Offices Held?

I understand this application is subject to approval of the Board of Directors of the Valparaiso Country Club and upon approval for membership, the initiation fee is non-transferable or refundable. If accepted for membership, I agree to abide by the constitution, by-laws, rules and regulations of the Valparaiso Country Club. I will submit payment of all dues, assessments, charges and taxes on a monthly basis. I agree to pay a 1.5% per month late charge fee for any late payment (1 day past due date) plus any collection fees or court costs for any past due account balance.

Please attach a voided check if you wish for us to charge you checking account monthly for you monthly bill.

Choose

Signature:

Date of Application:

Board Approval:

Date of Approval:

Submit