ENTRY FORM
Open to all amateur
men and women golfers with a current USGA/VSGA Handicap.
RULES
The Rules of Golf as
approved by the USGA will govern play.
Local Rules will be provided at the starter’s table.
ENTRY DEADLINE
Entries
must be received by 5:00 PM, September 28, 2005. No phone or faxed entries.
Starting times and tournament information may be obtained by contacting
the Newport News Golf Club at (757)-886-7925 after 10:00 AM, September 29,
2005.
ENTRY
FEE: $120.00 Team / $60 Single
(Includes: Green Fee/Cart, Range Balls, Lunch and
Prizes)
No refunds after
deadline date. Withdrawal prior to the
deadline - entry fee subject to a 25% administration fee.
Make check or money
order payable to: DRMGA
Mail to: DRMGA, c/o
NEWPORT NEWS GOLF CLUB
901 Clubhouse Way,
Newport News, VA 23608
Entries may also be
turned into Newport News Golf Club pro shop
WAIVER FOR
PARTICIPANT: In consideration of accepting this registration, I hereby waive
and release any and all rights and claims for damages I may have against the
Deer Run Men’s Golf Association and the Newport News Golf Club and its
representatives, successors and assigns, for any and all injuries suffered by
myself at this activity.
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PLEASE PRINT
$120.00 Team /
$60 Single ,
Tournament Committee will pair up singles.
NAME: _________________________
M / F PARTNER:
_______________________ M / F
ADDRESS: ___________________________ ADDRESS:_______________________________
CITY / STATE: ________________________ CITY / STATE:_____________________________
ZIP: __________ PHONE: ______________ ZIP: _______PHONE: ______________________
HANDICAP INDEX:
_________
HANDICAP INDEX: _________
CERTIFIED BY:_______________________ CERTIFIED BY:____________________________
Club Pro or HCP Chairman Club Pro
or HCP Chairman
I CERTIFY THAT I
QUALIFY FOR THIS EVENT ACCORDING TO THE PROVISIONS OF THIS ENTRY FORM.
SIGNATURE: _________________________ SIGNATURE:______________________________