| Chamberlain Golf |
|
| PAIRS SCRAMBLE Tournament | |
| Saturday, August 21st, 2004 |
| Glenwild Greens is a 9-hole Par-3 Golf Course | ||
| Please print this form (one per team) from your web browser and complete all information below, including parent/guardian signature for minors and mail with check payable to "Chamberlain Golf": | ||
| CHAMBERLAIN GOLF 8 Fieldstone Drive Kinnelon, NJ 07405 973-838-3574 |
Entry Fee $30 per team Tournament will be held at: Glenwild Greens GC 102 Glenwild Avenue Bloomingdale, NJ 07405 |
|
| One caddie (age 14 or older) per team
permitted. Teams
are expected to report to the starter at least 20 minutes in advance of
their assigned tee time. Play will start and/or continue in the event of
light rain. Entry
deadline is the Sunday, August 15th. Acceptance of late entries cannot be guaranteed.
Please keep a copy of this form for reference - you will not receive a
confirmation. You may call the course at 973-283-0888 Mon-Fri
between 9:00-4:00 to confirm your entry. Starting times will be posted on www.glenwildgreens.com by Wednesday, August
18th. Scoring method: SCRAMBLE FORMAT |
|
| Starting times will be assigned as early as 7:30am | |
| Captain Age (if under 18) |
| Player 2 Age (if under 18) |
| Address |
| City State Zip |
| Home phone Cell |
| Team Category: | |
| q Junior-Junior (both entrants 17 or under) | |
| q Adult-Junior (e.g. Parent-Child, Uncle-Niece, etc.) | |
| q Senior-Junior (e.g. Grandparent-Grandchild, etc.) | |
| q Adult-Adult (e.g. Husband-Wife, Friend-Friend, etc.) | |
Please complete this section for minors only: I, the undersigned parent or guardian of _________________________ do hereby agree to forever refrain from making claim or bringing suit against the Glenwild Greens Golf Course (GG), Chamberlain Golf (CG) or any of their agents, servants, or employees and do further release and hold harmless GG and CG or any of their agents, servants, or employees on account of any and all claims, demands, damages, costs, loss of services, expenses, pain and suffering or personal injury arising out of any act or omission whether negligent or not while the above named minor is participating in any activity sponsored by GG or CG. |
| ________________________________________________ _______________________________________________ |
| print parent/guardian name parent/guardian signature |