39th Annual Northwest ShootoutPlease enable JavaScript in your browser to complete this form.Registration Type *Golfing (Sat & Sun)Social (Non-golfing)Check all that apply.Golfer 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 CodeGender *MaleFemaleParticipant Information *Fri. Practice Round (RSVP only)Fri. NWGA Party Night (Included in package)Sat. Horse Race (RSVP only)Sat. Putting Competition (RSVP only)Sat. Banquet Dinner (Included in package)Check all that apply. For RSVP only selections, fees will be collected on site.Phone (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 'DNH' for Do Not HaveAge *Enter age as of May 3, 2024Non-Golfer ProfileName (Non-golfer) *FirstLastSocial RegistrationEmail (Non-golfer) *To be used for email correspondenceCart ItemsGolfer Package *Price: $190.002-days Golf plus 1/2Cart, Cash Prize Awards, Friday’s NWGA Party Night, Saturday Tournament Banquet Dinner, and Sunday Box Lunch to GoSocial Package *Price: $80.00Friday NWGA Party Night, Saturday Banquet Dinner, Sunday Box Lunch to GoOnline Processing Fee *Price: $5.81Processing Fee = $190.00 * 2.9% + $0.30Online Processing Fee *Price: $2.62Processing Fee = $80.00 * 2.9% + $0.30Online Processing Fee *Price: $8.13Processing Fee = $270.00 * 2.9% + $0.30Total *$0.00PaymentSquare *CardName on CardSubmit
