Please enable JavaScript in your browser to complete this form.Registratrion TypeRegistration Period *RegularLateLate Period begins July 15, 2024, 7:00 pmRegistration Status *Social OnlyGolfingJunior GolferGolfer ProfileName (Golfer) *FirstLastPlaying RegistrationLayout (copy)Email *To be used for email correspondenceAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDivision Flight Qualification *Junior, Age 18 or youngerWomens DivisionSenior, Age 75+Open, Age 18+Age as of July 16, 2024Phone (contact) *Membership Club *Select one...Fir State GCLeisure Hour GCHyTee GCPine State GCAP National GCOtherMembership Club *Enter Home Club name here or N/AGhin Number *Enter Ghin # or N/AChampionship Flight Preference *Yes, I declare to compete in the Championship Division only.No, I prefer to compete in a GHIN and age qualified Division.Championship Division restricts GHIN to 12; no preferred tee box.Add another Golfer? *YesNoAdd a Social Guest? *YesNoAdditional GolfersLayoutPlayer 2FirstLastPlayer 2 Email *Add another Golfer? *YesNoLayoutPlayer 3 *FirstLastPlayer 3 Email *Add another Golfer? *YesNoLayoutPlayer 4 *FirstLastPlayer 4 EmailSocial ProfileEnter social only attendeeLayoutSocial Attendee *FirstLastSocial Guest EmailAdd another Social Guest? *YesNoLayoutSocial Attendee 2 *FirstLastSocial 2 EmailHole SponsorHole sponsorships are available for a $125 minimum donation. Your sponsorship includes your business logo at one hole.Business Name *Enter Business Name or Individual Name exactly as it should appear on Hole SignLayoutBusiness Contact *FirstLastUpload Sponsorship Logo Click or drag a file to this area to upload. (max file size 100 MB)Business Email *Business AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCart ItemsDonationI would like to make an additional donation to the Jr. Golf Program.Minimum Price: $10.00Golfer Package *Price: $182.501234Saturday Golf plus 1/2 Cart , Tournament Banquet Lunch, Purse entry Friday Practice Round (Optional)Playing - $76.07Cart (Add-on) - $22.05Practice round = Greens fee, ($69 + tax); Cart = $20 + taxSunday Hangover Round (Optional)Playing - $51.80Cart (Add-on) - $22.05Hangover round = Greens fee ($47 +tax); Cart = $20 + taxSocial Package *Price: $37.5012Saturday Banquet only.Sponsor Package *Price: $125.0012345678910Hole Sponsors receive their name/logo on a Hole sign at each hole sponsored.Late Fee *Price: $25.00Late period registration feePayment Processing Fee *Price: $0.00Online fee = (Subtotal * 2.9%) + $0.30Coupon Apply Total * Order Summary Item Quantity Total There are no products selected. Donation1$0.00Golfer Package1$182.50Friday Practice Round (Optional) - Playing1$76.07Friday Practice Round (Optional) - Cart (Add-on)1$22.05Sunday Hangover Round (Optional) - Playing1$51.80Sunday Hangover Round (Optional) - Cart (Add-on)1$22.05Social Package1$37.50Sponsor Package1$125.00Late Fee1$25.00Payment Processing Fee1$0.00SubtotalTotal$370.00 $0.00PaymentSquare *CardName on CardSubmit
