Please complete all required fields! Membership Type(*) Social Membership $99 monthly fee + tax Social Membership $1188 annual + tax Invalid Input Your Name(*) Please let us know your name. Spouses' Name(*) Invalid Input Parent's Name (Youth Membership Only) Invalid Input Marital Status(*) Married Single Invalid Input Street Address Invalid Input City ST Zip Invalid Input Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Invalid Input Cell Phone(*) Invalid Input Parent Cell Phone (Youth Membership Only) Invalid Input Would you like to receive text messages for pool status updates and upcoming events? Yes Invalid Input Email Address(*) Please let us know your email address. Member's Date of Birth(*) Invalid Input Spouses' Date of Birth(*) Invalid Input Children: The children who qualify as dependents on your membership must be 19 yrs old or younger. They must be able to be claimed on your taxes. Name Invalid Input Date of Birth Invalid Input Annual Social Membership Consent(*) Annual Social Membership will be paid in full at the time of membership. The food minimum is a $300 food obligation that can be billed upfront in the form of a food credit quarterly at $75/every three months. Any unused food credit is forfeited at the end of the membership year. Invalid Input Monthly Social Membership Consent Social Membership Commitment: I understand that memberships are annual commitments based upon the club's fiscal period, April 1st - March 31st. If membership is granted after the commencement of any membership year, the dues will be prorated and your membership will be obligatory until March 31st of the following year. I understand and agree that I am required to remain a member and pay all related dues, food minimus, fees, and any late charges related to my classification of the membership until March 31st. Social Membership automatically renews and are binding with the new payment of April's membership dues which are billed on the April member's statements. Payment of April dues is binding for a full membership year. Further, I understand that Brown's Run will not grant a resignation or change in membership classification prior to March 31, for any membership year, and I am obligated to pay the number of dues amount not less than the full amount of the current dues relative to my classification of membership. Any changes to membership classifications, including resignations, must be submitted in writing no later than March 31st of each year. I understand that dues are not locked in and may be increased, once on an annual basis, based on the club's fiscal calendar starting April 1st. The food minimum is a $300 food obligation that can be billed upfront in the form of a food credit or quarterly at $75/every three months. Any unused food credit is forfeited at the end of the membership year. Invalid Input I elect to pay the food minimum (*) Annually ($300 one-time fee on April 1st) Quarterly (4 installments of $75) Invalid Input Please select your billing option(*) Annual rate, no initiation fee Monthly rate, no initiation fee Invalid Input Consent(*) I agree to keep an active credit card on file at all times during my membership at Brown’s Run. Furthermore, I authorize Brown’s Run to charge my credit card on file for any unpaid food & beverage, guest fees, greens fees or other charges once my account becomes more than 60 days in arrears. Invalid Input Photo Consent(*) I give Brown's Run permission to take and use photos for the purpose of social media, newsletters, and use around the clubhouse. Invalid Input Bylaws, Rules, and Regulations(*) I hereby make application for membership into Brown's Run Country Club and agree to abide by the Bylaws, Rules, and Regulations as they are written and any amendments hereafter. I agree to pay my account promptly within 15 days of receipt and no later than its due date, to pay applicable initiation fee, all membership dues, fees and charges applicable to my classification of membership and all that may be assessed on any of said charges. I hereby certify that all information contained in this application is true and correct and I authorize Brown's Run Country Club to obtain, from whatever source deemed appropriate, all information necessary to verify statements contained herein, including a verification of my credit history. Applicant also agrees to accept full responsibility for the conduct and actions of his/her family & guests including remuneration for physical damages to the Clubhouse, Course, Carts, and grounds because of negligence and/or malfeasance of said family members and guests. Invalid Input Send
