Member Name:

Member Index

Club Rep Name:

Club:

This form is due

Indexes as of 11/1/2021

by 11/20/2021

Mail to: Joan Boeheim 17 Brambly Ct. Williamsville, NY 14221

Proposed members must have an index of 19.4 and be 16 years old by 5/1/2022. Incomplete forms will not be considered.

Please PRINT. If the information is not clear the proposed member will not be processed.
Do not propose a player if she does not have a 20 score index with 10 or more  eighteen hole scores (no temporary indexes).
Every proposed player will be verified for index requirements.

Proposed Member:

Email:

Address:

Phone:                                              Index:

DID THIS PLAYER HAVE AT LEAST TEN 18 HOLE ROUNDS POSTED IN
2021–DURING THE WBDGA POSTING PERIOD?

             ________ Yes   _______ No

Member Name:

Member Index

Proposed members must have an index of 19.4 and be 16 years old by 5/1/2022. Incomplete forms will not be considered.

Please PRINT. If the information is not clear the proposed member will not be processed.
Do not propose a player if she does not have a 20 score index with 10 or more  eighteen hole scores (no temporary indexes).
Every proposed player will be verified for index requirements.

Proposed Member:

Email:

Address:

Phone:                                              Index:

DID THIS PLAYER HAVE AT LEAST TEN 18 HOLE ROUNDS POSTED IN
2021–DURING THE WBDGA POSTING PERIOD?

             ________ Yes   _______ No

Page 2                                   Proposed members must have an index of 19.4 and be 16 years old by 5/1/2022. Incomplete forms will not be considered.

Please PRINT. If the information is not clear the proposed member will not be processed.
Do not propose a player if she does not have a 20 score index with 10 or more  eighteen hole scores (no temporary indexes).
Every proposed player will be verified for index requirements.

Proposed Member:

Email:

Address:

Phone:                                              Index:

DID THIS PLAYER HAVE AT LEAST TEN 18 HOLE ROUNDS POSTED IN
2021–DURING THE WBDGA POSTING PERIOD?

             ________ Yes   _______ No

Proposed members must have an index of 19.4 and be 16 years old by 5/1/2022. Incomplete forms will not be considered.

Please PRINT. If the information is not clear the proposed member will not be processed.
Do not propose a player if she does not have a 20 score index with 10 or more  eighteen hole scores (no temporary indexes).
Every proposed player will be verified for index requirements.

Proposed Member:

Email:

Address:

Phone:                                              Index:

DID THIS PLAYER HAVE AT LEAST TEN 18 HOLE ROUNDS POSTED IN
2021–DURING THE WBDGA POSTING PERIOD?

             ________ Yes   _______ No

Proposed members must have an index of 19.4 and be 16 years old by 5/1/2022. Incomplete forms will not be considered.

Please PRINT. If the information is not clear the proposed member will not be processed.
Do not propose a player if she does not have a 20 score index with 10 or more  eighteen hole scores (no temporary indexes).
Every proposed player will be verified for index requirements.

Proposed Member:

Email:

Address:

Phone:                                              Index:

DID THIS PLAYER HAVE AT LEAST TEN 18 HOLE ROUNDS POSTED IN
2021–DURING THE WBDGA POSTING PERIOD?

             ________ Yes   _______ No