Membership Application

Boulder City Women's Golf Association — founded 1974

Dues & Mailing Instructions

Dues are $80 per year (January 1 – December 31), and include membership in the BCWGA, WSNGA, and SNGA, plus handicap maintenance records. New members joining July 1 – September 30 pay a prorated $55; October 1 – December 15 pay $30. A non-golf Social membership is also available for $10 per year.

Fill out this form on screen or by hand, then mail it with a check payable to BCWGA to:
Tara Imboden, PO Box 62405, Boulder City, NV 89006

Please print clearly, as you'd like your name to appear in the membership book.

indicates a required field

Name (Last, First)

Address

Preferred Phone

Alt Phone

Please indicate which is your cell and which is your home phone.

Birthday (MM/DD/YYYY)

GHIN #

Home Course

Other Memberships

By signing this form, the BCWGA member assumes all risks incidental to participation in weekly tournaments and releases the BCWGA, its board, and all involved with running the tournaments, as well as the Boulder City Municipal Golf Course, from all liabilities.

Signature

Date

Questions? Email taraimboden@gmail.com or text 702-521-5845.

Prefer a PDF instead? See Club Documents.