Golf Cart Request Form
As per the Illinois Department of Commerce & Economic Opportunity Golf Operational Restrictions, "No golf carts may be used on course (either owned by golf club or privately owned), EXCEPT individuals with a physical disability or physical limitations that prevent them from walking the course may rent a cart from the golf club."

Any Member(s) or their guests wishing to request the use of a golf cart must complete this form and submit it 24 hours prior to the time you are wishing to play. If approved, a Member need not re-submit a request for subsequent rounds.
Email address *
Contact Phone Number *
Your answer
Name *
Your answer
Address *
Your answer
Please provide a detailed description of your current disability or physical limitation which prevents you from walking the course: *
Your answer
As applicable, please explain the nature and the history of your disability or physical limitation as well as any current treatments you are receiving: *
Your answer
If applicable, what is the expected duration of your current disability or physical limitation? *
Your answer
Date *
Your answer
I certify that the information above is true and correct: *
Required
A copy of your responses will be emailed to the address you provided.
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