2009 US Deaf Golf Championship
GOLFER & NON-GOLFER
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.
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 firstname.lastname@example.org
For Golfers, please print and fill out USA Deaf Sports Federation (USADSF) form and sign.
Revised as of March 15, 2009