Membership Application - Kwiniaska Golf Club 2017
Golf Membership
SingleFamilyYoung AdultSeniorSenior FamilyJunior
Date of Birth
**Please enter DOB for Junior, Young Adult, Senior, or Senior Family membership types
Additional Services
GHIN (handicap service)Seasonal Cart
Name
Name
Address
City
Zip Code
Home Phone
Work Phone
Cell Phone
Email Address
(Kwiniaska does not disclose email addresses to outside parties)
Junior members must indicate parent or guardian info below:
Parent / Guardian
Daytime Phone
How did you hear about our Early Pay Deals? Email Kwini Website Other
Kwiniaska Golf Club
5800 Spear Street
Shelburne, VT 05482
(802) 985-3672