Polo Club Application – Springfield Polo Club

Polo Club Membership Application

Fill out the form below to request a private party at The Polo Club.

Prefer a paper form? Download the form below!

Proposed Name

Birth Date

Profession

Spouse's Name (If Applicable)

Birth Date

Profession

Website

If married - Anniversary Date

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Home Phone

Cell Phone

Work Phone

Email Address

Has applicant previously been proposed for membership?YesNo

Has applicant been a member in the past?YesNo

Has applicant attended one or more monthly Polo Club PartiesYesNo

Date of parties attended

Are you confident proposed applicant would accept membership if approved?YesNo

Download the form here and email it to springfieldohiopoloclub@gmail.com or drop it off at The Polo Club