CWGA Registration Form

Heathrow ~ Legacy Ladies Golf

Heathrow Country Club & The Legacy Club of Alaqua Lakes
2018 - 2019 Registration Form
Qualifications for HLLG Membership - Golf Membership of Concert Group Golf Clubs & at least 18 years of age.

18 Hole Player (Must maintain a 36 handicap)

9 Hole Player (Must have an established handicap)
Name *

First Name Last Name
E-mail

Address *

Home Phone Number

- Area Code Phone Number
Cell Phone Number

- Area Code Phone Number
Birth Date

Month Day Year
Choose which group you wish to join: *

18 Holer (Must have an established 36 handicap) 9 Holer (Must have an established handicap)
Payment Preference

Bill my Concert Group Acct for $125 annually for 18 Holers OR $100 for 9 Hole Players Mail my check payable to HLLG
If you elect to mail a check please make payable to HLLG.

Send to: Jill Kalia, HLLG Treasurer, 3364 Park Grove Court, Longwood, Fl. 32779
Should be Empty:

Heathrow ~ Legacy Ladies Golf