New Tournament Entry Forms

Page 1

New Tournament Entry Forms


SO OUTHW WEST SE ECTION PGA P

OC CTOBER 10 0, 2013 Starrting Time: Roundd 1 7:30AM Sho otgun Start Round d 2 Immediatel ly following round one (continuo ous) Luncch will be serve ed on the golf course. mat: Round d 1 Scramble Form Roundd 2 Better-Ball Field d: Limite ed to 60 Teamss (120 Players) Entrry Fee: Before e12:00PM on May M 3rd $350 per p team close Tourn nament Regisstration es on Friday, May 3rd at 12:00PM M after May 3rdd will be charg ged a late fee)) (Enttries accepted Slackss or dress short ts required for Dresss Policy: all me en; appropriate e golf attire is requirred for women n 2014 4 Club Car Shoot tout Player 1 _______________ ___ ___________ _ ___________ __ Nam me Member # ___ ___________ ___________ ___________ __________ /State/Zip Add dress City/ ___ ___________ _ ___________ Cell Phone # ___ ___________ ___________ ___________ _____ E-m mail Perssonal Check (__) Cred dit Card (__) ___________ ____ / _____ ___ ___________ _____ / ____ __ Date CVC Cred dit Card # Exp. b all the es, regulations I agree to abide by rule s and policiess he Arizona Op pen as indicated on the se econd page off of th docum ent this entry

2 2014 CL LUB CAR R PRO/P PRO ENTRY Y FORM deadline, Deadlin ne/ Refund Po olicy: See cancella tion, and refunnd policy on the Southwest Section PGA website toournaments. under Contact the host club. Practicce Round: Condu ucted By: Spons or: 2014 C Club Carr Shooto ut Playe er 2 _________________ ___________ _ _____________ Name Mem mber # ________________ ___________ ___________ ________ Addre ess City/Sttate/Zip ________________ _________ Cell P Phone # ________________ ___________ ___________ ___ E-mai l Person nal Check (__) Credit Card (__) ________________ ___________ __ _ / ______ / _______ Creditt Card # Exp. Da ate CVC e to abide by all the rules, regulations a and policies I agree Arizona Open of the A n as indicated d on the seco ond page of this en ntry documentt


__________________________________________________________________________________________

CLUB CAR SHOOT-OUT Superstition Mountain Golf & Country Club – Prospector Course Tuesday, May 7, 2013 Starting Time:

Round 1 Round 2

7:30AM Shotgun Start Immediately following round one (continuous)

Lunch will be served on the golf course. Format:

Round 1 Round 2

Scramble Better-Ball

Eligibility:

All A-1, A-2, A-4 through A-24 & Life Member classifications of the SWSPGA in good standing and apprentices who have met the Section’s playing requirements.

Field:

Limited to 60 Teams (120 Players)

Entry Fee:

Before12:00PM on May 3rd

$350 per team

Tournament Registration closes on Friday, May 3rd at 12:00PM (Entries accepted after May 3rd will be charged a late fee) Deadline/ Refund Policy:

See deadline, cancellation, and refund policy on the Southwest Section PGA website under tournaments.

Practice Round:

Contact the host club.

Slacks or dress shorts required for all men; appropriate golf attire is required for women. ----------------------------------------------------------------------------------------------------------------------------------Dress Policy:

CLUB CAR SHOOT-OUT

Superstition Mountain Golf & Country Club – May 7, 2013 Professional’s Name___________________________________________Club__________________________________ E-Mail______________________________________________________Phone_________________________________ Professional’s Name___________________________________________Club__________________________________ E-Mail______________________________________________________Phone_________________________________ Credit Card # (American Express, Master Card & Visa only) ___________________________________________________________Exp. Date________________________________ Checks payable to: SWSPGA / 10685 N. 69th St / Scottsdale, AZ / 85254 / (480) 443-9002 / (480) 443-9006 (Fax)

Official Tournament Entry of the Southwest Section PGA


SO OUTHWE EST SEC CTION PG GA

P PRO/AM M

OCT TOBER 10, 2013

TEAM EN NTRY FORM M

Attentio on Professionalls:

Pro rofession nal - $500 0.00 perr team

Please send this comp pleted form alo ong with full tea am payment (credit ccard or check) to: SCSPGA, 951 9 N. Forest Ridge R Blvd., Broken Arrow, OK 740 014 or register on BlueGolf by y September 25.

__________________________ ____ Pro fessional Na ame

b charged $10 00. Each Entries received after this date will be professsional must sub bmit a $150 non n-refundable de eposit to confirm their spot. This deposit will be b applied to th he Pro-Pro purse.

______________ ___________ ___________ ___________ ___ Faccility Name

Professsionals are resp ponsible for the eir team’s arriva al and departu ure dates. All ch harges for early y arrivals and late departures s are the responsibility of o the individua al. For those arrriving on ober 26, extra nights can be Friday, October 25 or Saturday, Octo reserve ed for $135+tax x & resort fee per p night. Thurs sday departu ures are also av vailable for $69 9+tax & resort fee. f Please notify th he SCSPGA off all arrival and departure date es as the SCSPG GA is charged for f “No-Shows””. M Carlo Re esort & Casino is 3 p.m. Keep p Check iin time at the Monte this time e

______________ ______ ____ ___________ ___________ __ Cel l Phone # E-ma ail ________ Shirrt Size

____ ___________ __________ Guesst Name

______________ ___________ _____ / ____ ____ / _____ __ Cred dit Card #

Exp. Date

CVC

Am mateur 2

Ama ateur 1 _________________ ___________ Amate eur Name

_____________ _ Da ate of Birth

____ _________ Date e of Birth

____ __________________________ Amaateur Name

_____________ _ Da ate of Birth

______ __________ ___________ ___________ ___________ _ Address City/ /State/Zip

______________ ___________ ___________ ___________ ___ Add dress Ciity/State/Ziip

__________ ____ ______ ___________ __________ ______ Cell Phone # E-maill

______________ ______ ____ ___________ ___________ __ Cel l Phone # E-m mail

______ __ Shirt SSize

________ Shirrt Size

____ ___________ __________ GHIN N # / Home Course/Club b

_______ HDCP

____ _________ Date e of Birth

______ __________ ___________ ___________ ___________ _ Address City/ /State/Zip ______ __________ ____ ______ ___________ __________ Cell Phone # E-maill ______ __ Shirt SSize

_______ HDCP

Ama ateur 3 _________________ ___________ Amate eur Name

__ ___________ ___________ ___ GHIN # / Hom me Course/C Club

____ ___________ __________ GHIN N # / Home Course/Club b

_______ HDCP

Starrt Time: Skin ns Game:

$20.0 00 Team Skiins Game (1 Grross & 1 Nett)

Fielld Size:

30 Te eams Max Fiield

Ent ry Fee:

$500 0.00

Projjected Purse e:


__________________________________________________________________________________________

SOUTHWEST SECTION PGA PRO-AM SERIES Troon Country Club Monday, August 5, 2013 Starting Time:

8:00AM Shotgun Start

Format:

One Professional / Three Amateurs (1 Gross + 1 Net) Maximum adjusted handicap for amateurs is 18.

Presented By: Professional plays his/her own ball for the Professional Purse Skins Game:

$20 team skins game (1 Gross + 1 Net) Cash Only paid at event

Eligibility:

All A-1 through A-24 & Life Member classifications of the SWSPGA in good standing. Eligible members may enter at anytime. Apprentices who have met the Southwest Section PGA playing requirements, their entries will not be accepted until 2 weeks prior to the event date.

Field:

Maximum field size for this event is 30 Teams

Entry Fee: $500 per team Tournament Registration closes on Thursday, August 2nd at 12:00PM Separate Tee/ Although competing from separate tees, men and women Same Purse: professionals shall compete for the same purse. Projected Purse:

Professional: $3000 Team: $3000 Purse based on full field (30 teams) Amateurs are paid in gift certificates Professional can only cash in the Professional Purse

Dress Policy:

Slacks or dress shorts required for all men; appropriate golf attire is required for women.

----------------------------------------------------------------------------------------------------------------------------------SOUTHWEST SECTION PGA PRO-AM SERIES Troon Country Club – Monday, August 5, 2013 Professional’s Name______________________________________________________ Email______________________________________________________ Phone__________________________________ Amateur

Handicap #

Index

1)________________________________________________________________________________________________ 2)________________________________________________________________________________________________ 3)________________________________________________________________________________________________ Credit Card # (American Express / Master Card / Visa only) ___________________________________________________________Exp. Date________________________________ Checks payable to: SWSPGA / 10685 N. 69th St / Scottsdale, AZ / 85254 / (480) 443-9002 / (480) 443-9006 (Fax)


AR 20 014 RIZONA OPEN

EN NTRY FORM MENT, MUST MPLETED COM EN TRY FORMS, , WITH PAYM T BE RECEIVED IN N THE SOUTH HWEST SECT TION PGA R OFF FICE NO LAT ER THAN 4:3 30 P.M. ARIZ ZONA TIME ON Friday, JUNE 7, 2013. EST ENT TRIES MAY BE E MAILED TO O: SOUTHWE SEC 1 N. TH STREET, CTION PGA, 10685 69T SCO OTTSDALE, ARIZONA A 852 254, OR FAXE ED TO 480-443-9006. D TO THE TRIES MAY A LSO BE HAND DELIVERED ENT SOU SE CTION PGA OFFICE. UTHWEST ENT TRIES WILL BE ACCEPT NO ED PHONE fessionals, s champion ship is open This n to all prof index of 4.6 or d amateurs with dicap and w a hand s less 20 14 Arizo na Open n _______________ ____________ __ __ ___________ ate of Birth me Nam Da __________ ___________ ___________ ___ ___________ Add dress City/ /State/Zip ___________ ___________ _ ___ l Phone Cell # ___ ___________ _____ ___________ ___________ E-m mail ofessional *Pro (___) ( provide e their aking the cutt must * Proofessionals ma Soc ial Security # ____ / __ __ / ____ to receive thei . ir earnings *Am mateur (___) ( index please enter your currrent handicap ( Amateurs, ____ p number that maintainss ____, associati ion name and phone yourr handicap; Ass soc._________ _____________ ____ ne__________ Phon ___________ ateurs to be eligible *ama e for entry must have a handicap inde ex no higher th han 4.6)

Host Co ourse: Form yment of Pay ____ PGA Professsional/Appr rentice $300.00 Member orr App. # ___ ___________ ___ ____ Other Proffessional $600.00 ____ Amateur $300.00 (___) Money Order Cashierr’s Check (___) *Person nal Check (___) *Please m make money order, cashier’s s check or *perrsonal check payable to: Arizona Op pen, 10685 N. 6 69th street, Sccottsdale, AZ. 852554 (___) Credit Card _________________ ___________ _ / ___-___ / _____ Credit Caard # Exp. Date CVC I agree to abide by a all the rules, egulations and policies re of the A Arizona Open as indicated on the second page of this entrry document



20 014 WA ASTE MA ANAGE EMENT

PH HOENIX X OPEN

en Qualifying 3 (Monday) Ope g: Janua ary 24, 2013 _ McCormick Ranch Gollf Club (Pine Course) C ____ 7505 E. McC y, Scottsdale, Cormick Pkwy Address: 8525 8 AZ 8-0260 * 480-948 -Qualifying: 3 (Thursday) Janua ary 24, 2013 Pre _ Aguila G olf Course ____ Address: 8440 S. 35th Ave, Laveen,, AZ 85339 * 602-237 7-9601 ____ Tre ee _ Lone Golf Club Address: 6262 S. Moun ntain Blvd., Chandler, C AZ 85249 7-9601 *602-237 ____ _ McCormiick Ranch Go olf Club (Palm m Course) 7505 E. McCo , Scottsdale, Address: ormick Pkwy, 58 AZ. 8525 *480-948 -0260 2014 Waste W Managem M ment Open Phoenix ____ ___________ ____________ __ __ ___________ Nam me Da ate of Birth ___________ ___________ __________ ___ ___________ Add /State/Zip dress City/ ___ ___________ ___________ _ Celll Phone # ___________ ___________ _____ ___ ___________ E-m mail *Pro ofessional (___) ( *Amateurr (__) ry Deadline: Web.co om Tour and Entr 2 013 PGA TOUR R, 2013 2013 3 Champions To our Regular Me embers, local PGA P Section exem mptions (2), Fo ormer PGA TOU UR Members fro om 2010 2, players TOUR inn 2013 season, 2012 maki ing a cut on the PGA play ers in the top 100 on the Woorld Golf Rankin ngs as of the non--member entry y deadline and players in the PGA TOUR nt immediately thee Open Qualifie er: 5:00 p.m. even y preceding local time on the Friday F precedin ng the Open Qu ualifying Roun nd. All O Others: 5:00 p.m. local time on the second Friday precceding the Ope en Qualifying Ro ound.

the Op Eligible fo or pen Qualiffier _______ 2014 4 PGA TOUR R Member _______ 2014 4 Web.com Tour Membe er Regular _______ 2013 3 Champions s Tour Mem mber _______ PGA A Section Exe emption (2 P Players Maxx) and Forme er PGA Tour Members 2010 0-2012 making a cut on the PGA Tour _______ Playyer in 20 014 Season. _______ Playyers in the to op 100 on th he World Golff Rankings a s of the non n-member entrry deadline. _______ Playyer in the PG GA TOUR eve ent imm mediately pre eceding the e Open Qua alifier A Applicant for the P Pre-Quali fier _______ PGA A of America a Member orr Apprentice Professio _______ Othe er nal _______ Fore eign Professi ame of the ional and na golff organizatio on/tour ____ ___________ ___________ _________ U Index _______ *Am mateur and USGA ____ _______ at (na Handicap ame of Estab lished courrse) _______ ___________ _________ Loca ation ______ ___________ _________ Phone _________ ________ ___________ ad Pro _____ ___________ _________ Hea *amateurrs to be eligible for entry must have a handica ap index no higher th han 4.6)


Elig gible for Op pen Qualifie er ___ ___

2014 2 PGA TOUR R Member

$0.00

____ ___

2014 2 Web.com Tour Memberss 2014 2 Champion ns Tour Regular Members

$100.00

____ ___

PGA P Section Ex xemption (2 pla ayers maximum m), Former PGA A TOUR Membe ers 2010-2012,,players making a cut on the PGA P TOUR in 2013 season, players in the to op 100 on the W World Golf Ran nkings as of the e non-member entry deadline e and a players in the PGA TOUR R event immediiately precedin ng the Open Qu ualifier $400.00 Pre-Qualifier

____ ___

All A Other Profe essional or Ama ateur

$300.00

Note e: Successful Pre-Qualifying P g Professionalss and Amateurrs are subject to an addition nal $200 entry y fee prior to tteeing off in the Open Qualifying Money Order

(__)

hier’s Check Cash

(__)

Perssonal Check (__) (Plea ase make mone ey order, cashier’s check or *personal chec ck payable to: SWSPGA, 106885 N. 69th street, Scottsdale,, AZ. 85254) Cred dit Card

(__)

_____________ ___________________________ / _______ / _ ______ __ Credit Card # Exp. Date CVC

I agree to abide by all the rulles, regulations and policie es of the Arizzona Open as indicated on n the second p page of this entrry document dholder acknow wledges receipt of goods and/or services in n the amount oof the total sho own hereon and d agrees to perform the Card obliggations set fortth in the Cardh holder’s agreem ment with the Issuer. EVISION, RADIO O, MOTION PICT TURE, PHOTOG GRAPHIC, ELEC CTRONIC, INTER RNET AND SIMI LAR RIGHTS/D DECLARATIONS:: TELE The u undersigned here eby grants and assigns a to PGA TO OUR, Inc., witho out limitation, thhe undersigned’ss individual televvision, radio, mo otion picture, photo ographic, electronic, internet “IInteractive Appliications” (as deffined below) and d all other mediaa rights with resp pect to the unde ersigned’s partiicipation in the qualifying q tourna ament or any porrtion thereof (i.e e., at all times oon-site during To ournament weekk and during any Tournamentrelatted activities), or any other footage of the underrsigned that mayy be captured byy PGA TOUR Ente ertainment or itss contractors witth the unde ersigned’s permisssion, with the understanding u that PGA TOUR’s use u thereof shalll be limited to th he following: (1)) advertising, pro omoting or publiicizing the PGA TOUR, T PGA TOUR R charitable initiiatives, tournam ments or any broaadcasts thereof; (2) live broadca asts during tourn naments, (3) broad dcasts or exhibittions on a record ded basis as partt of a program orr motion picture e of tournamentss or year-end sum mmaries of sportts award progrrams or any new ws of sports newss programs; provvided, that in no case shall the riights granted he ereunder be used d in any program m or motion pictu ure designed for instructional purposes without the t express writtten consent of thhe player(s) invo olved; and (4) livve or taped non-exclusive upda ates. “Interactive e Applications” shall mean the presentation p in any a medium in a way that permiits the viewer to o interact with or manipulate the e prese entation or access other relevant information du uring the presenttation. The undeersigned agrees tto refrain from a any action which h will interfere with PGA TOUR’s ownership of the riights hereunder granted and assiigned to PGA TO OUR or with any aauthorized use tthereof. The und dersigned also agree es to abide by an nd be governed by b the PGA TOUR Tournament Regulations curreently in effect (aand, if a memberr of PGA TOUR, a attest that a copy thereof has bee en furnished to me) m and by the Rules R of Golf of the t United Statess Golf Associatio on, subject to an ny modifications thereof appro oved by PGA TOUR. The u undersigned here eby declares tha at they have the financial capaciity to support thhemselves in relaation to the officcial PGA TOUR evvent and that the fforegoing information furnished by player in the Application is trrue and complette; and understa nds that any material false state ements herein furniished by player may m result in the eir expulsion from m the Tourname ent and the suspeension or termin nation of their pllaying privileges in tournaments cospo onsored, approved or endorsed by b PGA TOUR. By su ubmission of thiss entry, I agree to t the following: • I aggree to the regulations on Exhibiit A included herrewith and I agre ee that my entryy is subject to re ejection at any ttime. • I aggree that certain n risks are inhere ent to the game of golf and acce ept personal and d sole liability fo r all such risks. • I aggree that the ressponsibility of in nsuring this application is receive ed by the Sectionn by no later thaan the applicable e entry deadline e as set forth on Exhib bit A is mine alon ne and that this application will be automaticallly rejected if it iis received by th he Section after such date and tiime. • I aggree that the risk of delay lies so olely with me an nd that the Section has no liabilitty with respect tto any such dela ay and the conse equences there from, including rejection of thiss entry. • I aggree that the application must be b completely ex xecuted before I will be entered in the Tourname ent.

Note e: Open Qualiffying contesta ants MUST use e equipment which w conform ms to the Cond dition of Comp petition for Grroove Speccifications (se ee below). Thiis condition sh hall NOT apply y to Pre-Qualiifying. ease send or fa ax this form and payment info ormation to the PGA Section , listed in Exhiibit A) (Ple


PGA A TOUR 2013 OPE EN QUALIFY YING & PRE E-QUALIFYING APPLICATIO ON FOR EN NTRY Pages 1 & 2 – To be retu urned to PGA Section Tourname ent

Waste Management Phoenix Open

Open Qua alifying Date:

Januarry 28, 2013 (Monday)

Course: McCorrmick Ranch G Golf Club (Pine e Course)

Address: A 7505 5 E. McCormick k Pkwy., Scotts sdale, AZ 8525 58 Phone Num mber: 480-948 8-0260

Pre-Qualiffying Date:

Januarry 24, 2013 (Th hursday)

Course: Agu uila Golf Courrse

Address: A 8440 S. 35th Ave. , Laveen, AZ 85 5339 Date:

Januarry 24, 2013 (Th hursday)

Phone Nu umber:

Course: Lon ne Tree Golf C Club

Address: A 6262 S. Mountain Blvd. B , Chandler, AZ 85249 Date:

Januarry 24, 2013 (Th hursday)

602 2-237-9601

Phone Nu umber:

480-219-0830

Course: McC Cormick Ranc ch Golf Club (Palm Course)

Address: A 7505 5 E. McCormick k Pkwy., Scotts sdale, AZ 8525 58

Phone Nu umber:

480-948-0260

GA TOUR, 2013 Web.com Tourr and 2013 Cham mpions Tour Re egular Members s, local PGA Entry Deadline: 2013 PG Section n exemptions (2), Former PGA TOUR T Members s from 2010 - 20 012, players mak king a cut on th he PGA TO OUR in 2013 sea ason, players in n the top 100 on n the World Golff Rankings as o of the non-memb ber entry de eadline and play yers in the PGA A TOUR event im mmediately prec ceding the Open Qualifier: 5:00 p.m m. local time on n the Friday prec ceding the Open n Qualifying Ro ound. ers: 5:00 p.m. lo ocal time on the e second Friday y preceding the e Open Qualifyin ng Round. All Othe (Please prin nt or type)

ull: Name in fu Address: City

Telephone: Home: Date of Birrth

/

/

State

Cell:

E-Mail:

Social Se ecurity #:

-

Zip

-

Club Affilia ation (if any) Check stattus:

Eligible e for the Open Qualifier: Q 2013 PGA P TOUR Member 2013 Web.com W Tour Member M 2013 Champions C Tou ur Regular Mem mber PGA Section Exemption (2 players maximum) m and d Former PGA TOUR Membe ers 2009-2011 Player making a cut on o the PGA TO OUR in 2013 se eason Players s in the top 100 0 on the World Golf Rankingss as of the non--member entry deadline Player in the PGA TO OUR event imm mediately prece eding the Open Qualifier ant for the Pre-Qualifier: Applica PGA off America Mem mber or Apprentice Other Proffessional Foreign n Professional and name of golf organization n/tour Amateu ur and USGA Index

Location Head Pro

Handicap Esta ablished at (na ame of course) Phone Signature of H Head Pro


Application for Entry – Page 2 (To be returned to PGA Section) Eligible for Open Qualifier:

Respective Fees (Check)

2013 PGA TOUR Member

$0

2013 Web.com Tour Members and 2013 Champions Tour Regular Members

$100

PGA Section Exemption (2 players maximum), Former PGA TOUR Members 2010-2012, players making a cut on the PGA TOUR in 2013 season, players in the top 100 on the World Golf Rankings as of the non-member entry deadline and players in the PGA TOUR event immediately preceding the Open Qualifier

$400

Pre-Qualifier: All other Professionals or Amateurs:

$200

Note: Successful Pre-Qualifying Professionals and Amateurs are subject to an additional $200 entry fee prior to teeing off in the Open Qualifying Check enclosed is payable to the Section Charge my Visa or Master card:

Exp Date:

Print full name as it appears on the card: CVC Number (Last 3 digits on back of card): Billing Address (if different): Cardholder acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth in the Cardholder’s agreement with the Issuer. TELEVISION, RADIO, MOTION PICTURE, PHOTOGRAPHIC, ELECTRONIC, INTERNET AND SIMILAR RIGHTS/DECLARATIONS: The undersigned hereby grants and assigns to PGA TOUR, Inc., without limitation, the undersigned’s individual television, radio, motion picture, photographic, electronic, internet “Interactive Applications” (as defined below) and all other media rights with respect to the undersigned’s participation in the qualifying tournament or any portion thereof (i.e., at all times on-site during Tournament week and during any Tournament-related activities), or any other footage of the undersigned that may be captured by PGA TOUR Entertainment or its contractors with the undersigned’s permission, with the understanding that PGA TOUR’s use thereof shall be limited to the following: (1) advertising, promoting or publicizing the PGA TOUR, PGA TOUR charitable initiatives, tournaments or any broadcasts thereof; (2) live broadcasts during tournaments, (3) broadcasts or exhibitions on a recorded basis as part of a program or motion picture of tournaments or year-end summaries of sports award programs or any news of sports news programs; provided, that in no case shall the rights granted hereunder be used in any program or motion picture designed for instructional purposes without the express written consent of the player(s) involved; and (4) live or taped non-exclusive updates. “Interactive Applications” shall mean the presentation in any medium in a way that permits the viewer to interact with or manipulate the presentation or access other relevant information during the presentation. The undersigned agrees to refrain from any action which will interfere with PGA TOUR’s ownership of the rights hereunder granted and assigned to PGA TOUR or with any authorized use thereof. The undersigned also agrees to abide by and be governed by the PGA TOUR Tournament Regulations currently in effect (and, if a member of PGA TOUR, attest that a copy thereof has been furnished to me) and by the Rules of Golf of the United States Golf Association, subject to any modifications thereof approved by PGA TOUR. The undersigned hereby declares that they have the financial capacity to support themselves in relation to the official PGA TOUR event and that the foregoing information furnished by player in the Application is true and complete; and understands that any material false statements herein furnished by player may result in their expulsion from the Tournament and the suspension or termination of their playing privileges in tournaments cosponsored, approved or endorsed by PGA TOUR. By submission of this entry, I agree to the following: • I agree to the regulations on Exhibit A included herewith and I agree that my entry is subject to rejection at any time. • I agree that certain risks are inherent to the game of golf and accept personal and sole liability for all such risks. • I agree that the responsibility of insuring this application is received by the Section by no later than the applicable entry deadline as set forth on Exhibit A is mine alone and that this application will be automatically rejected if it is received by the Section after such date and time. • I agree that the risk of delay lies solely with me and that the Section has no liability with respect to any such delay and the consequences there from, including rejection of this entry. • I agree that the application must be completely executed before I will be entered in the Tournament.

Note: Open Qualifying contestants MUST use equipment which conforms to the Condition of Competition for Groove Specifications (see below). This condition shall NOT apply to Pre-Qualifying.

Original Signature of Applicant - REQUIRED for application to be accepted (Please send or fax this form and payment information to the PGA Section, listed in Exhibit A)


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