HOODKROFT COUNTRY CLUB

P.O. Box 266

Derry, NH 03038-0266

2010 APPLICATION FOR MEMBERSHIP

I. Indicate your Membership type from the following categories (check one):

__________ 1. Full Family __________ 4. Full Single

__________ 2. Weekday Family __________ 5. Weekday Single
__________ 3. Senior Couple __________ 6. Senior
__________ 7. Junior

II. Are you a stockholder? _____ If yes, what is your certificate #: ________.

III. Please fill out the following:

Name ________________________________ Date of Birth** ___________

First MI Last (**required for a Senior Membership)

Spouse’s
Name ________________________________ Date of Birth** ___________
First MI Last (**required for a Senior Membership)

Mailing Address
_______________________________________________________________
Street City State Zip

Telephone # _____________ E-Mail: _________________________________

If applying for a Family membership with children, please provide the following:

Name __________________________ Date of Birth ___________

IV. Please indicate if you would like a handicap? _________ ($25.00 additional Charge)
If new member please provide GHIN# _____________

I shall be personally responsible and liable for the conduct and acts of my family and guests while they are at Hoodkroft
Country Club, and I shall be held responsible for infractions by them of the terms of this application and the published
rules of the Club. I understand that the Hoodkroft golfing season runs from April 1 and November 30 of each year.

In the event that my membership is suspended or terminated for infractions of the published rules or for breach of the
terms of this application, it is understood that I shall not be entitled to a refund of my fees for the period of such
suspension, nor shall I be entitled to a refund of the fee in the event of termination.

___________________________________________ __________________________
Signature Date
 HOODKROFT COUNTRY CLUB 2010 MEMBERSHIP CATEGORIES

1. Full Family Membership. This is a two (2) person membership limited to the following: a husband and wife, a father
and child, or a mother and child. A child is defined as a son or daughter eighteen (18) or less or nineteen (19) to
twenty-three (23) years of age, if attending day school beyond the high-school level as a full-time student. The cost
for each additional child is $248. Privileges include use of all club facilities seven (7) days a week, advance
weekend and holiday tee times. (see tee time limitations for each additional child below*)

2. Weekday Family Membership. This is a two (2) person membership (see above for limitations). Privileges include
use of all club facilities Monday through Friday (except holidays).

3. Senior Couple Membership. Couple membership – either married person being sixty-two (62) years of age or
older. Privileges include use of all club facilities Monday through Friday (except holidays).

4. Full Single Membership. Any person eighteen (18) years of age or older. Privileges include use of all club facilities
seven (7) days a week, advance weekend and holiday tee times.

5. Weekday Single Membership. Any person eighteen (18) years of age or older. Privileges include use of all club
facilities Monday through Friday (except holidays).

6. Senior Membership. Any person sixty-two (62) years of age or older. Privileges include use of all club facilities
Monday through Friday (except holidays).

7. Junior Membership. Any person age eighteen (18) or less attending high school, or nineteen (19) to twenty-three
(23) years of age, if attending day school beyond the high-school level as a full-time student. Privileges include use
of all club facilities seven (7) days a week. (see tee time limitations for each additional child below*)

** Tee time privileges for Junior members and for Extra child included on a Full Family Membership (see 1 above)
are restricted to play after 1:00 PM on Saturday, Sunday and holidays.

2010 MEMBERSHIP RATES

(Please make checks payable to: Hoodkroft Country Club, P.O. Box 266, Derry, NH 03038)

NON-Stockholders Stockholders Rate

(Must own a share of stock)
Membership Early
Categories Regular Rate Discount Regular Rate Early Discount
Rate Rate
Full Family $2,173 $2,065 $1,965 $1,858

Weekday Family $1,756 $1,667 $1,580 $1,501

Senior Couple $1,635 $1,554 $1,472 $1,399

(Weekday)
Full Single $1,386 $1,317 $1,247 $1,185

Weekday Single $1,068 $1,014 $962 $913

Senior Weekday $1020 $968 $918 $871

Junior $508 $483 $457 $434

(The cost is $248 – for each additional child) (No discount)

* If you are interested in becoming a Stockholder and would like to purchase a share
of Hoodkroft Country Club ($500.00) stock, please call the office for details.
 2010 HOLIDAYS
Monday, May 31, Memorial Day
Monday, July 5, Independence Day
Monday, September 6, Labor Day
(For holidays, weekday members must pay green fees at weekend rates.)
Season dates: April 1 thru November 30