2026 NVGA Amateur and Senior Amateur Registration

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 (choose one):
GROSS Amateur Division (age 49 and under)GROSS Senior Division (age 50+)GROSS Super-Senior Division (age 65+)GROSS Legends Division (age 70+)

**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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