GOLFER NON-GOLFER REGISTRATION FORM

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					                                                 2009 US Deaf Golf Championship
                                                 GOLFER & NON-GOLFER
                                                  REGISTRATION FORM

                                                                    (Please Print)
Today’s date:
                                                         GOLFER INFORMATION
Name:


Address:


City, State, ZIP Code:


Email:                                 Phone:      tty  voice             Sorenson VP:                     DLINK IP:



Please check one box:         OPEN          SENIOR 50 yrs old+            LADIES          Non-Golfer


USGA / GHIN Handicap:__________________________                           18 Holes Average:__________________________

Note: You must provide documentation on an average score of 100 or better, or a copy of your GHIN handicap index card with a 28 handicap or less.



                                                       GOLFER ENTRY PACKAGE
 4 Day Championship Fee                                    $350.00

Entry includes FULL Championship access to the golf course, clubhouse, practice facility, Playing Membership status in the USDGA
and USADSF (both are required for competition), access to tournament hospitality room and Championship Headquarters, banquet
ticket, invitation to awards dinner and other events during the tournament.

Deadline: by July 1st, 2009 Late Fee: $375.00                 If postage date marks after July 1, 2009.

                                                            NON-GOLFER/FAN
 Banquet Fee                            $40.00


Total Fee: $_____________                                                   NO REFUNDS AFTER JULY 1, 2009


Please make check or money order payable to: 2009 USDGC                          If you pass the deadline after July 1, 2009 use money order.

Send to:    2009 USDGC, 1151 Eagle Drive, Suite #209, Loveland, Colorado 80537

Any questions relating to the package registration please contact: Joe Rourke at cdgajoe@aol.com


For Golfers, please print and fill out USA Deaf Sports Federation (USADSF) form and sign.




                                                                                                               Revised as of March 15, 2009