Family Sports Membership Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Summer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email Address * Spouse's Name First Name Last Name Spouse's Phone (###) ### #### Spouse's Email Name(s) of Child(ren), if Applicable Member Birth Date * MM DD YYYY Spouse's Birth Date MM DD YYYY Other Club Affiliations BHCC Member Sponsor The Director of Membership, Chad Penman, will contact you within a week. If your application is accepted, you will be provided with additional membership materials and payment information.Thank you for your membership interest to the Boothbay Harbor Country Club.If you have any questions or comments please contact:Boothbay Harbor Country ClubAttn: MembershipPO Box 757Boothbay, ME 04537chad@boothbayharborcc.com
