Customer Registration & Purchase Form
Membership Type
*
Single
Couple
Family
Junior
Note
For Couple Memberships, both members must reside at the same address. Valid government-issued photo ID and proof of eligibility may be required when membership cards are picked up.
Note
For Family Memberships, all dependent children must be under 18 years of age. Children aged 18 or older are not eligible under a Family Membership.Valid government-issued photo ID and proof of eligibility may be required when membership cards are picked up.
Note
For Junior Memberships, the member must be under 18 years of age. A valid government-issued photo ID and proof of eligibility may be required when the membership card is picked up.
Note-Senior Discount
For online purchases, the Senior Discount is currently available for 【Single Memberships only】. To receive the Senior Discount on a Couple or Family Membership, please visit The Golf Dome in person. Thank you for your understanding. 【A valid government-issued photo ID 】showing the member’s date of birth must be presented when picking up the membership card. If eligibility cannot be verified, the discounted amount must be paid before the membership card can be issued.
Select Membership Type
*
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Single Membership
$949.00 CAD
$
949.00
CAD
Membership Type
Annual Gold Single
Annual Silver Single
Winter Gold Single
Winter Silver Single
Summer Gold Single
Couple Membership
$1,429.00 CAD
$
1,429.00
CAD
Membership Type
Annual Gold Couple
Annual Silver Couple
Winter Gold Couple
Winter Silver Couple
Summer Gold Couple
Family Membership
$1,899.00 CAD
$
1,899.00
CAD
Membership Type
Annual Gold Family
Winter Gold Family
Summer Gold Family
Junior Membership
$499.00 CAD
$
499.00
CAD
Membership Type
Annual Gold Junior
Winter Gold Junior
Summer Gold Junior
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
NEW PROMOTION!!! Were you referred by someone to sign up for a membership? If yes, please provide their information. You will both receive credit! See the promotional poster for details.
Referer's full name
Referer's Membership card number (highly recommended)
Full Name-Member
*
First Name
Last Name
Date of Birth - Member
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Full Name-2nd Member
*
First Name
Last Name
Child 1
*
First Name
Last Name
Child 1 - Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child 2
First Name
Last Name
Child 2 - Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mobile Phone Number-Member
*
Format: (000) 000-0000.
Email-Member
*
Mobile Phone Number-2nd Member
*
Format: (000) 000-0000.
Email-2nd Member
*
Guardian's Full Name
*
First Name
Last Name
Mobile Phone - Guardian
*
Format: (000) 000-0000.
Email - Guardian
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Please upload a recent, clear photo of yourself. Membership photos are used for identification and verification purposes only.
*
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