Membership Membership fee $535.00 one time non-refundable Application fee $50.00(will be deducted from membership fee) Dues are paid quarterly the cost is $180.00. Lakeside's membership is made up of 500 families. Application Form (Click to download in PDF) **Print Out the Following Form and Return to the Office or Download the Form Above! Lakeside Country Club 1520 Rose Garden Drive Metairie, Louisiana 70005 Phone 834-9200 • FAX 834-9067 E-mail Lakeside@lakeside countryclub.org Date ____________ I, the undersigned, hereby agree to pay Lakeside Country Club the sum of $50.00. I understand that this is an Application fee and is non-refundable. I also understand that I am responsible for any changes in the information that I have provide below. This fee will be applied to my membership fee if I chose to join Lakeside Country Club. _______________________________ __________________________ SUBSCRIBER (full name) SPOUSE (full name) _______________________________ _________________________ ADDRESS CITY ZIP BUSINESS PHONE _______________________________ __________________________ HOME PHONE BUSINESS PHONE OCCUPATION _______________________________ ________________________ BUSINESS OR OCCUPATION EMERGENCY PHONE NUMBER Children’s Names and Dates of Birth References 1.___________________________ 1._____________________ 2. __________________________ 2.______________________ 3. ___________________________ 3._______________________ 4____________________________ Recommended by: 5.____________________________ 1.________________________ 6.____________________________ 2._________________________ OTHER PERSONS RESIDING IN YOUR HOME: ___________________________ __________________________ NAME RELATION APPLICANT’S SIGNATURE ACCEPTED:__________________________________________________ MEMBERSHIP CHAIRPERSON