Apply for Membership | Elyria Country Club

Membership Application Form

Please complete the information below as accurately as possible. Required fields are clearly marked. Sponsor information can be completed now or followed up on later if needed.

Step 1

Membership Classification

Select the membership classification you are applying for and confirm the application date.

Membership Classification *

Resident

Corporate Resident

Junior (Age 21–29)

Junior (Age 31–39)

Social

Application Date *

Step 2

Applicant Information

Enter the main applicant details exactly as they should appear on the application.

Full Name *

Date of Birth *

Phone

Street Address *

City *

State *

ZIP *

Member Cell *

Spouse Cell

Member Email *

Spouse Email

Name of Spouse (if married)

Spouse Date of Birth

Step 3

Children Ages 12–21

Add any children and birth dates if applicable. Leave blank if not applicable.

Child 1 Name

Child 1 Birth Date

Child 2 Name

Child 2 Birth Date

Child 3 Name

Child 3 Birth Date

Child 4 Name

Child 4 Birth Date

Step 4

Clubs & Organizations

Enter any clubs or organizations where you are or were a member.

Member or Former Member of the Following Clubs or Organizations

Step 5

Business & Employment Information

Complete the business and employment portion of the application as fully as possible.

Name of Business / Employer

Business Address

Business Phone

Business Email

Business City

Business State

Business ZIP

Step 6

Sponsor Information

If the sponsor details are available, complete this section. If not, you can still continue and follow up later if needed.

Name of Nominee

Years Known

Acquaintance Nature

If Other, Please Explain

Is the Applicant Related to the Sponsor?

Yes

If Yes, State Relationship

Sponsor Name

Sponsor Member Number

Signature of Member Making Recommendation

Final Step

Application Acknowledgments

Please review the acknowledgments below before continuing to the membership agreement.

Before You Continue

Please review your information carefully to make sure it is accurate and complete. After this step, you will continue to the membership agreement page where you will review and acknowledge the governing terms.

I certify that all statements above are true and correct to the best of my knowledge. *

I acknowledge the application terms and understand I will next review the membership agreement before final completion. *

After clicking continue, you will be taken to the membership agreement page for final review and acknowledgment.