2018 golf nb tournament entry form
2018 GOLF NB TOURNAMENT ENTRY FORM Golf NB, 500 Beaverbrook Court, Suite 440, Fredericton, NB E3B 5X4 Phone: (506) 451-1324. Fax: 1-888-307-2963. [email protected] . www.golfnb.ca
*REGISTRATION FOR ALL GOLF NB EVENTS OPENS APRIL 16, 2018* I wish to enter the following tournaments(s): (check all that apply and forward entry form with full payment to the address above)
“JIM CONNOLLY” LITTLE SWINGERS (5 to 10 Years of Age with an Adult partner) …....……………………… August 13, 2018
NB FAMILY CLASSIC / ADULT JUNIOR (Please circle the appropriate division below) ………………………… August 13, 2018 Please Circle: Father/Son Father/Daughter Mother/Son Mother/Daughter Adult Jr./Male Adult Jr./Female
NB FOUR BALL (Men’s & Senior Men’s Competitions) ………………………….…...……………..…………..…… May 26-27, 2018 NB LADIES FOUR BALL ….…………………………………………………………...…………………..……………..… June 10, 2018 NB EAST COAST JUNIOR CHAMPIONSHIP (18 Years of Age, and under, as of August 1, 2018) ………...… June 26-27, 2018 NB PEE WEE CHAMPIONSHIP (12 Years of Age, and under, as of August 1, 2018) …..…...……….….………….. July 3-4, 2018 NB JUNIOR CHAMPIONSHIP (18 Years of Age, and under, as of August 1, 2018) …..........………..….………….. July 3-5, 2018 NB LADIES PROVINCIAL CHAMPIONSHIPS ……...………………………………..………...…….………………….. July 8-10, 2018 RBC DOMINION SECURITIES NB MEN’S AMATEUR CHAMPIONSHIP (Amateur & Mid-Amateur Divisions)... July 12-15, 2018 NB MEN’S SENIOR CHAMPIONSHIP (55 Years of Age by September 3, 2018) ….…...………………………..
July 23-25, 2018
NB MEN’S MID-MASTER CHAMPIONSHIP (40 Years of Age by August 20, 2018) …….……………………..… July 23-25, 2018
$190.00 $125.00 $145.00 $115.00 $155.00 $200.00 $250.00 $230.00 $230.00 $60.00 $115.00
Note: All entry fees include HST _________________________________________________________________________________________________________________________ NAME: ________________________________
DATE OF BIRTH: ________________________
E-MAIL: ________________________________
ADDRESS: _____________________________
CITY: __________________________________
POSTAL CODE: _________________________
TELEPHONE: ___________________________
GOLF CLUB: ___________________________
GOLF CANADA CARD #:__________________
IF REGISTERING FOR AN INDIVIDUAL STROKE PLAY EVENT (NB JUNIOR, NB LADIES, MEN’S AMATEUR, MID-MASTER OR NB SENIOR), PLEASE INDICATE YOUR SHIRTS & JACKET SIZE BELOW: GOLF SHIRT SIZE
SMALL
MEDIUM
LARGE
XL
XXL
JACKET / PULLOVER SIZE
SMALL
MEDIUM
LARGE
XL
XXL
Name:
Name:
________________________________________ (Four Ball Partner’s Name) ________________________________________ (Family Classic / Little Swingers Partner’s Name)
Golf Club: _______________________
Golf Canada Card #:_______________
Golf Club: _______________________
Golf Canada Card #:_______________
METHOD OF PAYMENT – Entries will not be processed without payment. Faxed entries must include payment by VISA or Master Card. Cheque or Money Order enclosed (Payable to Golf NB): ____________________
TOTAL PAYMENT: $____________________________________
Visa or M/C #: _____________________________________________________
Expiry Date: ___________________
Name on Card: ____________________________________________________
Signature: ____________________________________________
Billing Address: ____________________________________________________
City: _________________________
CVV / CVC #:__________
Postal Code:__________
REFUND POLICY: Application fees will be refunded if Golf NB is notified (506-451-1324) of the player’s intention to withdraw prior to the application deadline. Application fees will not be refunded after the application deadline without a medical certificate. Refunds are subject to a $25 administrative fee. Once selected into a championship, players are expected to participate. If a player wishes to withdraw prior to the start of a championship, he/she must notify the Golf NB well in advance in order to ensure an alternate fair opportunity to play. Failure to comply may result in DISQUALIFACTION from future provincial competitions. WAIVER OF MEDIA RIGHTS: In consideration for Golf NB’s services in sponsoring the tournament, I hereby grant and assign to the Golf NB, without limitation, my individual television, radio, motion picture, print advertising, Internet and all other related media rights with respect to my participation in the tournament.
*REGISTRATION FOR ALL GOLF NB EVENTS OPENS APRIL 16, 2018* I wish to enter the following tournaments(s): (check all that apply and forward entry form with full payment to the address above)
“JIM CONNOLLY” LITTLE SWINGERS (5 to 10 Years of Age with an Adult partner) …....……………………… August 13, 2018
NB FAMILY CLASSIC / ADULT JUNIOR (Please circle the appropriate division below) ………………………… August 13, 2018 Please Circle: Father/Son Father/Daughter Mother/Son Mother/Daughter Adult Jr./Male Adult Jr./Female
NB FOUR BALL (Men’s & Senior Men’s Competitions) ………………………….…...……………..…………..…… May 26-27, 2018 NB LADIES FOUR BALL ….…………………………………………………………...…………………..……………..… June 10, 2018 NB EAST COAST JUNIOR CHAMPIONSHIP (18 Years of Age, and under, as of August 1, 2018) ………...… June 26-27, 2018 NB PEE WEE CHAMPIONSHIP (12 Years of Age, and under, as of August 1, 2018) …..…...……….….………….. July 3-4, 2018 NB JUNIOR CHAMPIONSHIP (18 Years of Age, and under, as of August 1, 2018) …..........………..….………….. July 3-5, 2018 NB LADIES PROVINCIAL CHAMPIONSHIPS ……...………………………………..………...…….………………….. July 8-10, 2018 RBC DOMINION SECURITIES NB MEN’S AMATEUR CHAMPIONSHIP (Amateur & Mid-Amateur Divisions)... July 12-15, 2018 NB MEN’S SENIOR CHAMPIONSHIP (55 Years of Age by September 3, 2018) ….…...………………………..
July 23-25, 2018
NB MEN’S MID-MASTER CHAMPIONSHIP (40 Years of Age by August 20, 2018) …….……………………..… July 23-25, 2018
$190.00 $125.00 $145.00 $115.00 $155.00 $200.00 $250.00 $230.00 $230.00 $60.00 $115.00
Note: All entry fees include HST _________________________________________________________________________________________________________________________ NAME: ________________________________
DATE OF BIRTH: ________________________
E-MAIL: ________________________________
ADDRESS: _____________________________
CITY: __________________________________
POSTAL CODE: _________________________
TELEPHONE: ___________________________
GOLF CLUB: ___________________________
GOLF CANADA CARD #:__________________
IF REGISTERING FOR AN INDIVIDUAL STROKE PLAY EVENT (NB JUNIOR, NB LADIES, MEN’S AMATEUR, MID-MASTER OR NB SENIOR), PLEASE INDICATE YOUR SHIRTS & JACKET SIZE BELOW: GOLF SHIRT SIZE
SMALL
MEDIUM
LARGE
XL
XXL
JACKET / PULLOVER SIZE
SMALL
MEDIUM
LARGE
XL
XXL
Name:
Name:
________________________________________ (Four Ball Partner’s Name) ________________________________________ (Family Classic / Little Swingers Partner’s Name)
Golf Club: _______________________
Golf Canada Card #:_______________
Golf Club: _______________________
Golf Canada Card #:_______________
METHOD OF PAYMENT – Entries will not be processed without payment. Faxed entries must include payment by VISA or Master Card. Cheque or Money Order enclosed (Payable to Golf NB): ____________________
TOTAL PAYMENT: $____________________________________
Visa or M/C #: _____________________________________________________
Expiry Date: ___________________
Name on Card: ____________________________________________________
Signature: ____________________________________________
Billing Address: ____________________________________________________
City: _________________________
CVV / CVC #:__________
Postal Code:__________
REFUND POLICY: Application fees will be refunded if Golf NB is notified (506-451-1324) of the player’s intention to withdraw prior to the application deadline. Application fees will not be refunded after the application deadline without a medical certificate. Refunds are subject to a $25 administrative fee. Once selected into a championship, players are expected to participate. If a player wishes to withdraw prior to the start of a championship, he/she must notify the Golf NB well in advance in order to ensure an alternate fair opportunity to play. Failure to comply may result in DISQUALIFACTION from future provincial competitions. WAIVER OF MEDIA RIGHTS: In consideration for Golf NB’s services in sponsoring the tournament, I hereby grant and assign to the Golf NB, without limitation, my individual television, radio, motion picture, print advertising, Internet and all other related media rights with respect to my participation in the tournament.
