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Affiliation Date of Birth Gender Registration Member or Guest Team Id Entry Number Pro or Amateur Riding / Walking / Caddie 45+ 49 50+ Address 1 Address 2 Address1 Address2 Address3 Age Applicant for the Pre-Qualifier By submission of this entry, I agree to the following: • I agree to the regulations on Exhibit A included herewith and I agree that my entry is subject to rejection at any time. • I agree that certain risks are inherent to the game of golf and accept personal and sole liability for all such risks. • I agree that the responsibility of insuring this application is received by the Section by no later than the applicable entry deadline as set forth on Exhibit A is mine alone and that this application will be automatically rejected if it is received by the Section after such date and time. • I agree that the risk of delay lies solely with me and the Section has no liability with respect to any such delay and the consequences there from, including rejection of this entry. • I agree that the responsibility of confirming the Section has received this application is mine alone. • I agree that the application must be completely executed before I will be entered in the Tournament. Note: Event Qualifying contestants MUST use equipment which conforms to the Model Local Rule for Groove Specifications (see below). This Model Local Rule shall NOT apply to Pre-Qualifying. Cell Phone Chapter City Classification Club Affiliation (if any) Country CWAPOY CWCUP CWPOY CWSPOY Display Name Employed Entry Id GHIN Active Golf Hub Encrypted Id handicap network type IEPOY IESPOY InformalName Member Type memberNumber MSGA Member Number ORPOY ORSPOY Passed Lvl 1 PGA Member PGA Number Phone Player's Card Playing Privilege Pro-Am Tee Role Rosauers Exemption SAPOY Section Playing Privileges SHC SPOY Sr OR Open Exemption SSHC SSPOY State USGA Handicap Index (If an Amateur) Verified Member WA Open Exemption WMPOY Work Phone WWCUP WWPOY WWSPOY ZIP / Postal Code Zip Code Pro or Amateur notation City, State or Country City, State (AP) or Country City, State (ISO) or Country
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