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 19, 2010
SIGNATURE:_____________________________PARTNER _____________________________
Mail entry form to:
ONE ENTRY PER ENVELOPE
Complete this form
and return to:
Sandy Jacobson Entry
Fee: $75 per person, $150 per team
819 S. Deer
Meadow
Phone: 520-203-7131
Event: SDWGA Summer Scotch
Tournament Time: 8:30 AM shotgun
Oro Valley CC,
Opening Date: June 13, 2010.
Entries postmarked before this date will be mailed back to be
resubmitted.
Closing
Date: July 9, 2010.
Refunds and partner substitution may not be given after this date.
Field: Limited to first 50 teams. Lottery drawing if more than 60 entries are
received on opening date. Check www.sdwga.com for a list of participants and
wait list. You are IN the tournament if you
have NOT been contacted by e-mail or phone by the Tournament Chair by July 9,
2010.