First Name (required)
Last Name (required)
Club (required)
Your Email (required)
Street Address (required)
City (required)
State (required)
Zip (required)
Phone (required)
Handicap Index (required)
GHIN# (required)
Your age as of event start date: (required)
You Must Designate Whether You Will Participate in: GROSS Amateur Division
**YOU MUST HIT ACCEPT BEFORE SUBMITTING YOUR PAYMENT** By submission of this entry I agree to the following: I agree to the Championship regulations included herewith. I agree that there are certain risks inherent in the game of golf and accept personal and sole liability for all such risks, including, but not limited to any health-related risks. I agree that this entry is subject to rejection at any time (including during the Championship) by the committee. The reason for rejection may include unbecoming behavior. I certify that I qualify for this event in accordance with the provisions above and agree with the statements above: **YOU MUST HIT ACCEPT BEFORE SUBMITTING YOUR PAYMENT!** AFTER CLICKING THE ACCEPTANCE BOX, CLICK THE GREEN SEND BUTTON TO SEND THE ENTRY FORM. THEN PROCEED TO STEP TWO TO SUBMIT YOUR PAYMENT.
Acceptance:
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