Personal Information

First Name: Last Name: M
City: State: Zip:
Primary Phone: Secondary Phone:
Email Address: Date of Birth (mm/dd/yyyy):
Note – Correspondence from TRSGC, including newsletters and tee time confirmations will be sent to this address.

Average Score for 9-holes: Region of Residence:
Type of TRSGC Membership: How did you hear about TRSGC?
Check here if you DO NOT wish to be listed in the TRSGC membership directory

As a member, I hereby waive all rights to claims for injury, loss, or damage arising through any activities or actions of the Three Rivers Singles Golf Club (TRSGC).
Enter your name as your electronic signature:
Date (mm/dd/yyyy):