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408 Point Rd, Lake Winola, PA 18625
Club House:
570-378-9976
| Pro Shop:
570-378-9982
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Scranton Canoe Club
The Best Kept Secret in Northeastern Pennsylvania
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HOME
ABOUT
About Us
Officers & Board of Directors
Membership
Become a Member
Newsletters
Gallery
GOLF
The Course
Pro-Shop
Tournaments
Leagues
Golf Resources
CLUB HOUSE
Club House Information
Club House Menus
Weddings & Events
CALENDAR
Contact
Directions
Become a Member
of One of the Area's Most Prestigious Golf Clubs
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Membership
Become a Member
Scranton Canoe Club Membership Application
Please complete all sections.
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Personal Information
Please choose the membership you are applying for:
*
Golf (Active) Membership
Junior (21-36) Membership
Level 1 Junior (21-36) Membership
Level 1 Fleet (37-64) Membership
Level 1 Retired (65-) Membership
Level 2 Junior (21-36) Membership
Level 2 Fleet (37-64) Membership
Level 2 Retired (65-) Membership
Club House (Social) Membership
2nd Club Membership
Travelers Membership
First Name:
*
Last Name:
*
Phone:
*
Email:
*
Address:
*
City:
*
State:
*
Zip:
*
Date of Birth:
Marital Status:
Single
Married
Spouse Name:
Employment Information
Business or Profession:
*
Name of Employer:
*
Employer's Phone:
*
Employer Address:
*
Employer City, State, Zip:
*
Years at this Job:
*
Miscellaneous Information
What local Community Organizations or other affiliations do you belong to?
What Civic Activities do you participate in?
Are you related to a member?
*
Yes
No
Member Name:
Relationship to Member:
Member 2 Name:
Relationship to Member 2:
Two member sponsors plus one Board of Directors sponsor is required on all applications. Please list the names of 2 sponsors who are members of Scranton Canoe Club:
Club Sponsor 1:
*
Club Sponsor 2:
Board of Directors Sponsor:
*
Are you a member of any other Country Club?
Yes
No
Country Club Name:
Length of Membership:
Country Club City:
Contact:
Have you ever been rejected, expelled, or resigned from any other club?
*
Yes
No
Membership Agreement
If elected to membership, I agree to abide by all rules and regulations at the Scranton Canoe Club as provided by its by-laws and resolutions thereof.
Do you accept these terms?
*
I Do
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