Par Hoper Senior Men's Golf 

DATE :   

NAME:  

First Middle Last

ADDRESS: CITY: ZIPCODE

PREFERRED PHONE NUMBER:      CELL  or HOME    ALTERNATE NUMBER:

DATE OF BIRTH:

E-MAIL ADDRESS:

OCCUPATION 

WORKING  RETIRED 

I BECAME INTERESTED THROUGH: FRIEND____ WEBSITE____ NEWSPAPER____ COURSE_____

Print this form and bring it to a winter lunch or to the golf course when we are playing

Annual dues are $30.00. If paying by check, make check payable to Par Hopers Golf Club. When you bring your money and application to the course, any Board Member at the PAR HOPERS starter table can take your money and application form and issue you a receipt. Show this receipt to the pro shop desk to receive your free round and retain it for your records.

Questions? Mike Durr 513-477-2239 or see us at the course Mondays or Fridays

Revised June 2023