OFFICIAL ENTRY FORM |
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____ Fee of $135CDN including GST (or equivalent
Entries must be received by August 14. |
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Name: ___________________________________ Address: _________________________________ City: ____________________________________ Province/State: ____________________________ Postal Code/Zip Code: ______________________ Country: __________________________________ Email: ___________________________________
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Club: ____________________________________ Handicap Index: ____________________________________ Phone (Res): ______________________________ Phone (Bus): ______________________________
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I declare:
I hereby release the LEGENDS GCC, its directors, volunteers, committee members, officers, and employees from any and all liability whatsoever in any way arising out of or relating to my entry into or participation in this golf tournament. In case of an emergency occurring to me during this golf tournament, I authorize a medical doctor registered to practice medicine in Alberta to take all necessary measures in my treatment. Signature: _______________________________ Date: ___________________________________ |