PLEASE PRINT
NAME__________________________________________
E-MAIL__________________________________________________
PHONE ___________________________ CORRECT CLUB REPRESENTING
__________________________________________
ACCOC. #__________________________ INDEX ________________
PARTNER______________________________________
E-MAIL___________________________________________________
PHONE ___________________________ CORRECT CLUB REPRESENTING
__________________________________________
ASSOC. # ________________________ INDEX __________________
1. I understand
that lightning and severe weather are a danger in Arizona.
2. I understand and
acknowledge that the game of golf may involve a risk of physical and/or mental
injury.
3. I acknowledge
that the operation, riding and use of a motorized golf cart involves a risk of
physical injury to any individual undertaking such activities.
4. I acknowledge
that such activities require care, attention and obedience to the warnings and
instructions posted on the golf cart, and to the warnings, instructions, rules
and regulations posted on the golf course.
I expressly
state that I have read and am familiar with such instructions, warnings and
rules. I expressly assume such risks
and waive any claim which I might at any time state against the Southern
District Women’s Golf Association as a result of physical injury incurred in
such activities, EXCEPT to the extent such claim might be based upon the sole
and exclusive negligence of the Southern District Women’s Golf
Association. I further agree to hold
the Southern District Women’s Golf Association harmless for physical injury to
others, or for property damage which might result from my actions on the golf
course or from my use or my acquiescence in another person’s use of the golf
cart in violation of any warning, instruction, rule or regulation.
This release shall be effective and
binding upon me and upon my assigns and heirs and shall extend for the dates
indicated below. I hereby acknowledge
that I have read and understand this release.
Effective Date: July 16, 2008
SIGNATURE:_____________________________PARTNER _____________________________
Mail entry form to:
Gay Elliott
10815 N. Summer Moon Pl.
ONE ENTRY PER
ENVELOPE
If you have questions,
you may call Gay at: (520) 219-5857