Email Address

Full Name

Date of Birth

Phone Number

Address

I am: I am: New Member Current Member (Renewal)

I would like the following membership: I would like the following membership: Daily Monthly

I am interested in: I am interested in: Cash Games Tournaments Both

How did you hear about us: How did you hear about us: Friend Drive by Google Social Media (Facebook, Instagram) Other

I understand that I will have to complete a private social club membership agreement once my application is approved. I understand that I will have to complete a private social club membership agreement once my application is approved. Yes

I, do hereby release Sun City Card Club from any liabilities suffered as a result of any Sun City Card Club meeting, sponsored event or tournament. I also release any club officers or board members or volunteers of any liabilities. I acknowledge this by initialing at the bottom of this release form I, do hereby release Sun City Card Club from any liabilities suffered as a result of any Sun City Card Club meeting, sponsored event or tournament. I also release any club officers or board members or volunteers of any liabilities. I acknowledge this by initialing at the bottom of this release form Yes