Please enable JavaScript in your browser to complete this form.Registratrion TypeRegistration Period *RegularLateLate Period begins August 3, 2025, 7:00 pmRegistration Status *Regular GolferJunior GolferGolfer ProfileName (Golfer) *FirstLastPlaying RegistrationEmail *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 11, 2025Participant Information *Interested in Group Transportation - please send additional informationSaturday Big Boyz Private DiningLodging at the Clearwater CasinoNone of the abovePhone (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 GolfersPlayer 2FirstLastPlayer 2 Email *Add another Golfer? *YesNoPlayer 3 *FirstLastPlayer 3 Email *Add another Golfer? *YesNoPlayer 4 *FirstLastPlayer 4 EmailHole SponsorHole sponsorships are available for a $125 minimum donation. Your sponsorship includes your business logo at one hole.Hole Sponsorship *I would like to sponsor a holeNo thank youBusiness Name *Enter Business Name or Individual Name exactly as it should appear on Hole SignBusiness 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: $10.002- Day Golfer Package *Price: $200.0001234Saturday & Sunday Golf plus 1/2 Cart (Purse entry collected at course)Saturday only Golfer Package *Price: $100.0001234Saturday Golf plus 1/2 Cart (Purse entry collected at course)Sunday only Golfer Package *Price: $100.0001234Sunday Golf plus 1/2 Cart (Purse entry collected at course)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 Qty Total There are no products selected. Donation1$0.002- Day Golfer Package 0$0.00Saturday only Golfer Package0$0.00Sunday only Golfer Package0$0.00Sponsor Package1$125.00Late Fee1$25.00Payment Processing Fee1$0.00SubtotalTotal$25.00 $0.00PaymentSquare *CardName on CardSubmit
