{"id":314,"date":"2014-07-08T05:14:47","date_gmt":"2014-07-08T05:14:47","guid":{"rendered":"https:\/\/www.virginiagolf.com.au\/cms\/?page_id=314"},"modified":"2025-08-01T07:47:28","modified_gmt":"2025-07-31T21:47:28","slug":"membership-application-form","status":"publish","type":"page","link":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/","title":{"rendered":"Membership Application Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_20' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_20'  action='\/cms\/wp-json\/wp\/v2\/pages\/314' data-formid='20' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_20_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_10'>\n\t\t\t<div class='gchoice gchoice_20_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Mr'  id='choice_20_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_10_0' id='label_20_10_0' class='gform-field-label gform-field-label--type-inline'>Mr<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Mrs'  id='choice_20_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_10_1' id='label_20_10_1' class='gform-field-label gform-field-label--type-inline'>Mrs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Ms'  id='choice_20_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_10_2' id='label_20_10_2' class='gform-field-label gform-field-label--type-inline'>Ms<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Miss'  id='choice_20_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_10_3' id='label_20_10_3' class='gform-field-label gform-field-label--type-inline'>Miss<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='gf_other_choice'  id='choice_20_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_10_4' id='label_20_10_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_20_10_other' class='gchoice_other_control' name='input_10_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_20_1'>\n                            \n                            <span id='input_20_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_20_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_20_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_20_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_5'>Preferred name<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_20_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_9\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_9'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_20_9' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_20_9_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_20_9_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_20_9' class='gform_hidden' value='https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_20_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_54'>Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_20_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_55'>Employer<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_20_55' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_15\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Contact<\/h3><\/div><fieldset id=\"field_20_11\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_20_11' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_20_11_1_container' >\n                                        <input type='text' name='input_11.1' id='input_20_11_1' value=''    aria-required='true'    \/>\n                                        <label for='input_20_11_1' id='input_20_11_1_label' class='gform-field-label gform-field-label--type-sub '>Street address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_20_11_3_container' >\n                                    <input type='text' name='input_11.3' id='input_20_11_3' value=''    aria-required='true'    \/>\n                                    <label for='input_20_11_3' id='input_20_11_3_label' class='gform-field-label gform-field-label--type-sub '>Suburb<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_20_11_4_container' >\n                                        <input type='text' name='input_11.4' id='input_20_11_4' value=''      aria-required='true'    \/>\n                                        <label for='input_20_11_4' id='input_20_11_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_20_11_5_container' >\n                                    <input type='text' name='input_11.5' id='input_20_11_5' value=''    aria-required='true'    \/>\n                                    <label for='input_20_11_5' id='input_20_11_5_label' class='gform-field-label gform-field-label--type-sub '>Post code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_20_11_6_container' >\n                                        <select name='input_11.6' id='input_20_11_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_20_11_6' id='input_20_11_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_20_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_20_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_20_49\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_49'>Mobile phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_20_49' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_48\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_48'>Home phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_48' id='input_20_48' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_50\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_50'>Work phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_50' id='input_20_50' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Membership selection<\/h3><\/div><fieldset id=\"field_20_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_18'>\n\t\t\t<div class='gchoice gchoice_20_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Full (7 Day) (Suspended not taking applications for this membership)'  id='choice_20_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_0' id='label_20_18_0' class='gform-field-label gform-field-label--type-inline'>Full (7 Day) (Suspended not taking applications for this membership)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='6 Day (Suspended not taking applications for this membership)'  id='choice_20_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_1' id='label_20_18_1' class='gform-field-label gform-field-label--type-inline'>6 Day (Suspended not taking applications for this membership)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Midweek (5 Day)' checked='checked' id='choice_20_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_2' id='label_20_18_2' class='gform-field-label gform-field-label--type-inline'>Midweek (5 Day)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Heritage 9'  id='choice_20_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_3' id='label_20_18_3' class='gform-field-label gform-field-label--type-inline'>Heritage 9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Get Into Golf Women'  id='choice_20_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_4' id='label_20_18_4' class='gform-field-label gform-field-label--type-inline'>Get Into Golf Women<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Student'  id='choice_20_18_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_5' id='label_20_18_5' class='gform-field-label gform-field-label--type-inline'>Student<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Intermediate'  id='choice_20_18_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_6' id='label_20_18_6' class='gform-field-label gform-field-label--type-inline'>Intermediate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Country'  id='choice_20_18_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_7' id='label_20_18_7' class='gform-field-label gform-field-label--type-inline'>Country<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Social Member'  id='choice_20_18_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_8' id='label_20_18_8' class='gform-field-label gform-field-label--type-inline'>Social Member<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_47\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_47'>Proof of full-time enrollment<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='6291456' \/><input name='input_47' id='input_20_47' type='file' class='large' aria-describedby=\"gfield_upload_rules_20_47 gfield_description_20_47\" onchange='javascript:gformValidateFileSize( this, 6291456 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_20_47'>Accepted file types: pdf, Max. file size: 6 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_20_47'><\/div> <\/div><div class='gfield_description' id='gfield_description_20_47'>Please upload a copy of your Certificate of Enrolment or comparable document (accessible from your student portal). <\/div><\/div><div id=\"field_20_53\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_53'>Proof of residential address<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='6291456' \/><input name='input_53' id='input_20_53' type='file' class='large' aria-describedby=\"gfield_upload_rules_20_53 gfield_description_20_53\" onchange='javascript:gformValidateFileSize( this, 6291456 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_20_53'>Max. file size: 6 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_20_53'><\/div> <\/div><div class='gfield_description' id='gfield_description_20_53'>Please upload a document which confirms your address as more than 200kms from VGC. <\/div><\/div><div id=\"field_20_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Golf History<\/h3><\/div><fieldset id=\"field_20_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you ever been a member of Virginia Golf Club?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_21'>\n\t\t\t<div class='gchoice gchoice_20_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Yes'  id='choice_20_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_21_0' id='label_20_21_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='No'  id='choice_20_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_21_1' id='label_20_21_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you ever been a member of a different golf club?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_19'>\n\t\t\t<div class='gchoice gchoice_20_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_20_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_19_0' id='label_20_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_20_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_19_1' id='label_20_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Previous Club Details<\/h3><\/div><div id=\"field_20_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_22'>Previous golf club name<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_20_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Membership status<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_24'>\n\t\t\t<div class='gchoice gchoice_20_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Current'  id='choice_20_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_24_0' id='label_20_24_0' class='gform-field-label gform-field-label--type-inline'>Current<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Resigned'  id='choice_20_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_24_1' id='label_20_24_1' class='gform-field-label gform-field-label--type-inline'>Resigned<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_30\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_30'>Existing GOLF Link number<\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_20_30' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_20_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Make Virginia Golf Club my Home Club<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_20'>\n\t\t\t<div class='gchoice gchoice_20_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Yes'  id='choice_20_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_20_0' id='label_20_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='No'  id='choice_20_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_20_1' id='label_20_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >The Australian Golf Union (AGU) requires the information requested above for the purposes of GOLF Link. Your personal information will only be used in accordance with the GOLF Link \u201cActivity\u201d and to provide you with GOLF Link services. If the requested information is not provided to the AGU you may not be able to obtain GOLF Link Services including an official Australian handicap. Should you wish, you will be able to access your personal information through the AGU upon reasonable notice.<\/div><div id=\"field_20_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Referee 1\/2<\/h3><div class='gsection_description' id='gfield_description_20_17'>Please provide details of two referees in support of your application to join the club.<\/div><\/div><fieldset id=\"field_20_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Referee type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_32'>\n\t\t\t<div class='gchoice gchoice_20_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Virginia Golf Club'  id='choice_20_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_32_0' id='label_20_32_0' class='gform-field-label gform-field-label--type-inline'>Virginia Golf Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Other Golf Club'  id='choice_20_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_32_1' id='label_20_32_1' class='gform-field-label gform-field-label--type-inline'>Other Golf Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Sporting Club'  id='choice_20_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_32_2' id='label_20_32_2' class='gform-field-label gform-field-label--type-inline'>Sporting Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Business'  id='choice_20_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_32_3' id='label_20_32_3' class='gform-field-label gform-field-label--type-inline'>Business<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Personal'  id='choice_20_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_32_4' id='label_20_32_4' class='gform-field-label gform-field-label--type-inline'>Personal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_40'>Position<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_20_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_33\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_20_33'>\n                            \n                            <span id='input_20_33_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.3' id='input_20_33_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_33_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_33_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.6' id='input_20_33_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_33_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_20_37\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_37'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_20_37' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_20_51\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_51'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_51' id='input_20_51' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_34\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Referee 2\/2<\/h3><\/div><fieldset id=\"field_20_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Referee type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_41'>\n\t\t\t<div class='gchoice gchoice_20_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Virginia Golf Club'  id='choice_20_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_41_0' id='label_20_41_0' class='gform-field-label gform-field-label--type-inline'>Virginia Golf Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Other Golf Club'  id='choice_20_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_41_1' id='label_20_41_1' class='gform-field-label gform-field-label--type-inline'>Other Golf Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Sporting Club'  id='choice_20_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_41_2' id='label_20_41_2' class='gform-field-label gform-field-label--type-inline'>Sporting Club<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Business'  id='choice_20_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_41_3' id='label_20_41_3' class='gform-field-label gform-field-label--type-inline'>Business<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Personal'  id='choice_20_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_41_4' id='label_20_41_4' class='gform-field-label gform-field-label--type-inline'>Personal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_42'>Position<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_20_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_36\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_20_36'>\n                            \n                            <span id='input_20_36_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_36.3' id='input_20_36_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_36_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_36_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_36.6' id='input_20_36_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_36_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_20_38\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_38'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_38' id='input_20_38' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_20_52\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_52'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_52' id='input_20_52' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_44\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaration<\/h3><\/div><fieldset id=\"field_20_46\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Declaration<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_20_46'><div class='gchoice gchoice_20_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='I certify that the above information is true and correct in every particular and I acknowledge that the Committee and\/or Club may at their sole and absolute discretion refrain from or refuse to elect me to Membership without assigning any reason therefore. If elected, I undertake to abide by the Rules and By-Laws of the Club.'  id='choice_20_46_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_46_1' id='label_20_46_1' class='gform-field-label gform-field-label--type-inline'>I certify that the above information is true and correct in every particular and I acknowledge that the Committee and\/or Club may at their sole and absolute discretion refrain from or refuse to elect me to Membership without assigning any reason therefore. If elected, I undertake to abide by the Rules and By-Laws of the Club.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_45\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_45'>CAPTCHA<\/label><div class='gfield_captcha_container'><img class='gfield_captcha' src='https:\/\/www.virginiagolf.com.au\/cms\/index.php?gf-download=1145848260.png&#038;form-id=captcha&#038;field-id=45&#038;hash=6517e90c05440d0760883fb4f9646469acab034c13bf23874f04ce8df2ddddfd' alt='' width='150' height='42' \/><div class='gfield_captcha_input_container simple_captcha_medium'><input type='text' autocomplete='off' name='input_45' id='input_20_45' \/><input type='hidden' name='input_captcha_prefix_45' value='1145848260' \/><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_20' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_20' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_20' id='gform_theme_20' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_20' id='gform_style_settings_20' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_20' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='20' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='fmaQAZQYzBv9wcsJfI3wjsbRFJEP0SnutGNCVHkB5sxy5giwV2TULnqD0wexnhFTonA4AQtp+ECbZNHqhiSMocrsOENCTJQTP1HgFl2rumZSOPY=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_20' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_20' id='gform_target_page_number_20' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_20' id='gform_source_page_number_20' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 20, 'https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_20').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_20');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_20').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_20').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_20').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_20').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_20').val();gformInitSpinner( 20, 'https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [20, current_page]);window['gf_submitting_20'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_20').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [20]);window['gf_submitting_20'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_20').text());}else{jQuery('#gform_20').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"20\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_20\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_20\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_20\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 20, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Title(Required) Mr Mrs Ms Miss Other<br \/> Name(Required) First name Last name Preferred nameDate of birth(Required) DD slash MM slash YYYY OccupationEmployerContactAddress(Required) Street address Suburb State Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian <\/p>\n<div class=\"rdMore\"><a href=\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\">Read&nbsp;More&nbsp;&raquo;<\/a><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":127,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-314","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Membership Application Form - Virginia Golf Club<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Membership Application Form - Virginia Golf Club\" \/>\n<meta property=\"og:description\" content=\"Title(Required) Mr Mrs Ms Miss Other Name(Required) First name Last name Preferred nameDate of birth(Required) DD slash MM slash YYYY OccupationEmployerContactAddress(Required) Street address Suburb State Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Read&nbsp;More&nbsp;&raquo;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Virginia Golf Club\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VirginiaGolfClub\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-31T21:47:28+00:00\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\",\"url\":\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\",\"name\":\"Membership Application Form - Virginia Golf Club\",\"isPartOf\":{\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#website\"},\"datePublished\":\"2014-07-08T05:14:47+00:00\",\"dateModified\":\"2025-07-31T21:47:28+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.virginiagolf.com.au\/cms\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Memberships\",\"item\":\"https:\/\/www.virginiagolf.com.au\/cms\/membership\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Membership Application Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#website\",\"url\":\"https:\/\/www.virginiagolf.com.au\/cms\/\",\"name\":\"Virginia Golf Club\",\"description\":\"The Golf Course of Champions, Queensland Australia\",\"publisher\":{\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.virginiagolf.com.au\/cms\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#organization\",\"name\":\"Virginia Golf Club\",\"url\":\"https:\/\/www.virginiagolf.com.au\/cms\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/uploads\/2019\/10\/VGC-Logo-CMYK-Nov-2015.jpg\",\"contentUrl\":\"https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/uploads\/2019\/10\/VGC-Logo-CMYK-Nov-2015.jpg\",\"width\":3364,\"height\":3128,\"caption\":\"Virginia Golf Club\"},\"image\":{\"@id\":\"https:\/\/www.virginiagolf.com.au\/cms\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/VirginiaGolfClub\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Membership Application Form - Virginia Golf Club","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/","og_locale":"en_US","og_type":"article","og_title":"Membership Application Form - Virginia Golf Club","og_description":"Title(Required) Mr Mrs Ms Miss Other Name(Required) First name Last name Preferred nameDate of birth(Required) DD slash MM slash YYYY OccupationEmployerContactAddress(Required) Street address Suburb State Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Read&nbsp;More&nbsp;&raquo;","og_url":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/","og_site_name":"Virginia Golf Club","article_publisher":"https:\/\/www.facebook.com\/VirginiaGolfClub","article_modified_time":"2025-07-31T21:47:28+00:00","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/","url":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/","name":"Membership Application Form - Virginia Golf Club","isPartOf":{"@id":"https:\/\/www.virginiagolf.com.au\/cms\/#website"},"datePublished":"2014-07-08T05:14:47+00:00","dateModified":"2025-07-31T21:47:28+00:00","breadcrumb":{"@id":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/membership-application-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.virginiagolf.com.au\/cms\/"},{"@type":"ListItem","position":2,"name":"Memberships","item":"https:\/\/www.virginiagolf.com.au\/cms\/membership\/"},{"@type":"ListItem","position":3,"name":"Membership Application Form"}]},{"@type":"WebSite","@id":"https:\/\/www.virginiagolf.com.au\/cms\/#website","url":"https:\/\/www.virginiagolf.com.au\/cms\/","name":"Virginia Golf Club","description":"The Golf Course of Champions, Queensland Australia","publisher":{"@id":"https:\/\/www.virginiagolf.com.au\/cms\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.virginiagolf.com.au\/cms\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.virginiagolf.com.au\/cms\/#organization","name":"Virginia Golf Club","url":"https:\/\/www.virginiagolf.com.au\/cms\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.virginiagolf.com.au\/cms\/#\/schema\/logo\/image\/","url":"https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/uploads\/2019\/10\/VGC-Logo-CMYK-Nov-2015.jpg","contentUrl":"https:\/\/www.virginiagolf.com.au\/cms\/wp-content\/uploads\/2019\/10\/VGC-Logo-CMYK-Nov-2015.jpg","width":3364,"height":3128,"caption":"Virginia Golf Club"},"image":{"@id":"https:\/\/www.virginiagolf.com.au\/cms\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/VirginiaGolfClub"]}]}},"_links":{"self":[{"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/pages\/314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/comments?post=314"}],"version-history":[{"count":7,"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/pages\/314\/revisions"}],"predecessor-version":[{"id":13434,"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/pages\/314\/revisions\/13434"}],"up":[{"embeddable":true,"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/pages\/127"}],"wp:attachment":[{"href":"https:\/\/www.virginiagolf.com.au\/cms\/wp-json\/wp\/v2\/media?parent=314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}