BRANDHALLGOLF COURSE

Application FormTerms & Conditions

Heron Road, Oldbury, B68 8AQ

Vol 11 2016

BRANDHALL GOLF COURSE

A well established mature woodland golf course with newly constructed water hazards, tight fairways and maintained greens provides a real challenge to

even the more advanced golfer

• 18 holes (Par 71 Parkland Course)

• Water Features

• Bar & Café

• Club Repairs

• Fully Stocked Golf Shop

• PGA Qualified Golf Instruction

• Free Parking

• Video Teaching Facility

LEISURE PASS GOLF MEMBERSHIPTerms & Conditions

• Leisure Pass Golf membership is valid at

Brandhall Golf Course.

• Leisure Pass Golf cards are not transferable and

are only for use by the holder.

• Eagle and Birdie Direct Debit memberhips are for

a minimum period of 12 months.

• Leisure Pass Golf memberships are valid for 12

months.

• Leisure Pass Golf cards are subject to Brandhall

Golf Course - Conditions of Use.

• Leisure Pass Golf membership is sold on the

understanding that the course may be closed

at certain times due to inclement weather,

organised golf tournaments or golf societies.

• Sandwell Leisure Trust shall not be liable for any

injury, loss or damage to clothing, valuables or

property sustained by any person using Brandhall

Golf course howsoever such injury, loss or

damage may be caused.

• Brandhall Golf course operates a pre-booking

system.

Issued Sites: Receipt No. Receptionist Signature / Print Name:

Fee £ . p

Date Card Issued: Card Issued by: Expiry Date:

Leisure Pass Number: Notes:

APPLICATION FORM - PART 22. WHICH PASS ARE YOU APPLYING FOR? (please tick box)

7 DAY EAGLE £535 (ANNUAL)

7 DAY EAGLE DIRECT DEBIT First payment of £47.40 followed by 11 monthly payments of £47.40

5 DAY BIRDIE £435 (ANNUAL)

5 DAY BIRDIE DIRECT DEBIT First payment of £40.25 followed by 11 monthly payments of £40.25

SENIOR GOLF PASS £245 Sandwell residents aged over 60 only, for 12 months.

7 DAY JUNIOR GOLF PASS £90 Unlimited golf for golfers aged under 17 years, for 12 months.

Proof of age

Sandwell Resident

Staff Verified:

Print:

Sign:

FOR OFFICE USE ONLY

The information you provide will be held in accordance with the DATA Protection Act 1998

Would you like to receive information on other Council services and events, such as carnivals, exhibitions & community events?

Yes No

Please make sure that you have signed and dated your application to confirm that your details are correct and complete.I apply for a Sandwell Leisure Pass and certify that the information provided is correct. I understand and accept the terms and conditions of use details in the Application Booklet. I confirm that in the event of any changes in personal circumstances affecting my eligibility under the Leisure Pass Scheme I will immediately notify the membership team on 0300 012 0121.

Signed: Dated

If you are under 17 years of age this application must be countersigned by a parent or guardian.

Signature of Parent/Guardian: Relationship

SANDWELL LEISURE TRUST

www.slt-leisure.co.uk0300 012 0121

Award winning services supporting Sandwell’s scorecard

3. ELIGIBILITY CRITERIA

4. DATA PROTECTION

5. DECLARATION

Banks and building societies may not accept Direct Debit Instructions for some types of account

This guarantee should be detached and retained by the payer

TheDirect DebitGuarantee

• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

• If there are any changes to the amount, date or frequency of your Direct Debit Sandwell Leisure Trust will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Sandwell Leisure Trust to collect a payment, confirmation of the amount and date will be give to you at the time of the request.

• If an error is made in the payment of your Direct Debit, by Sandwell Leisure Trust or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it back when Sandwell Leisure Trust asks you to

• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Please fill in the form and hand it in at Brandhall GolfCourse. Name and full postal address of you Bank or Building Society To: The Manager (Bank or Building Soc.)

Address

Postcode Name(s) of Account Holder(s) Bank/Building Society account number Bank Sort Code

Instruction to your Bank orBuilding Society to pay by Direct Debit

Service User Number Reference Number

Signature(s)

Date

9 7 2 7 8 6

Instruction to your Bank or Building SocietyPlease pay Sandwell Leisure Trust Direct Debits from the account detailed in this Instruction, subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Sandwell Leisure Trust and, if so, details will be passed electronically to my Bank/Building Society.

This section should be completed in full. Please write clearly in BLOCK CAPITALS.

Mr Mrs Miss Ms OtherSurname:First Name:Address:

Postcode

Tel No. (Home): (Work):

(Mobile):

Email Address:

Date of birth (e.g. 7th March 1935 enter 07/03/35)

Application FORM - PART 1

Fair obtaining and processing

1. YOUR PERSONAL DETAILS

This information will be held and processed by Sandwell Leisure Trust (in partnership with Sandwell MBC), for the purpose of Leisure Pass membership and may be shared within Sandwell Leisure Trust to notify you of relevant products and services in accordance with the data protection act 1998. We ask that you please notify us immediately of any changes to your personal information. You can request a chargeable copy of any personal information held about you by completing a ‘Subject Access Request Form’ available from Sandwell Leisure Trust.

Asian or Indian SikhAsian British Indian Other(please tick) Pakistani Bangladeshi Any other Asian background (Please write in)

Black orBlack British Caribbean(please tick) African Any other Black background (Please write in)

ChineseYemeni or Chineseother ethnic Yemenigroup (please tick) Other (Please write in)

Proof shown i.e.car badge etc.

Receptionists signature

How did you find out about the Sandwell Leisure Pass?

BRANDHALLGOLF COURSE

Brandhall Golf Course is a well established mature 18 hole woodland golf course. It’s many water hazards, tight fairways and undulating greens provides a real challenge to even the more advanced golfer.

The signature hole is the long par 4, 15th, which has recently been made more difficult as the hole is now further protected by a lake, which not only gives the hole a more picturesque look but it also ensures that the golfer requires a good deal of planning to avoid this strategically placed hazard.

Brandhall Golf Course aims to provide a warm, friendly and relaxing environment that encourages golfers regardless of ability to play, with the green fees priced the most competitively in the Midlands.

Other facilities include the cafeteria which has recently been refurbished with a wide selection of snacks, and freshly prepared sandwiches available throughout the day.

Contact the Pro Shop on 0300 012 0121, for more information on green fee discounts, 5 and 7 day season ticket membership, golf society bookings, and many more offers.

Pro Golf ShopThe resident Golf Professional provides a comprehensive range of golf lessons and golf equipment at very competitive prices, as well as expert advice given through the Laser Achiever Club fitting system to ensure that any clubs purchased are the right ones for you.

The Golf lessons are available for both individual and group bookings, with the latest and most advanced Laser Video Teaching system on the market. From beginners to professionals, this system is quite simply the best and most effective method to improve your game.

Brandhall Golf ClubMembership is currently available for golf and social membership.

Brandhall Golf club (formed in 1903), host weekly club competitions, and of course provide members with the opportunity to obtain an official golf handicap.

Please contact the clubhouse on0121 552 7475 for details on both golf and social club membership.

Facilities

• 18 holes, Par 71 Parkland Course

• 9th & 15th hole water features

• Bar & café facility

• Club repair facility

• Fully stocked golf shop

• Fully qualified PGA golf instruction

• Public car-parking

• Video teaching facility

GOLF IN SANDWELLBrandhall Golf GourseLeisure PassGolf Membership 2016-2017

7 DAY “EAGLE” PASSUnlimited golf

Cost: £535Direct Debit: First payment of £47.40

followed by 11 monthly

payments of £47.40

5 DAY “BIRDIE” PASSUnlimited golf, Monday - Friday only

Cost: £435Direct Debit: First payment of £40.25

followed by 11 monthly

payments of £40.25

SENIOR GOLF PASSFor over 60’s, Sandwell resident. Available

Monday - Friday.

Cost: £245 + £2.00 per round

7 DAY JUNIOR GOLF PASSUnlimited Golf for golfers 17 years and under

Cost: £90 See reverse for terms and conditions.

The Following questions are optional.

Do you have a disability Yes No

Gender (please tick)

Male Female

White British

(please tick) Irish Any other White background (Please write in)

Dual White & Black CaribbeanHeritage White & Black African(Please tick) White Asian

Any Other Dual Heritage Background (Please write in)