W S G A
  2010 SENIOR AMATEUR CHAMPIONSHIP 

2010 Senior Amateur On-Line Entry Form
 

WSGA Amateur Championship Entry
Texarkana Country Club
Texarkana, AR
October 26 - 28, 2010
 (25th Year!)

ENTRY FORM

* There is an additional $5.00 processing fee for on-line registration *

  1. Please fill out the following information and click the "SUBMIT" button to send in your entry form. 

  2. After submitting entry form, click on the PayPal button below to submit your payment for the Championship.

  3. Entry deadline is 5 PM CDT, October 1, 2010 unless extended.

YOUR ON-LINE ENTRY IS NOT CONFIRMED UNTIL PAYMENT HAS BEEN MADE!
Name:  
Please enter name as you want it to be announced, to appear on scoreboard, scorecards, etc.
Street Address:  
City:  
State:  
Zip:  
Home Phone:  
Cell Phone:  
Email:  
Member Golf Club/Women's Golf Association:  
Club/Association City, State:  
USGA Handicap Index:
        (if not playing, type none)		  

GHIN #  *                    
       (if not playing, type none)

  
  *  Non-GHIN members (playing) must provide Handicap service at home club
I would like to compete for Super Senior Trophy:
        (age 70 & older) 		 
I am submitting entry fee for:  
Please list any other information that the Committee should be aware of:

By submission of this entry I agree to the following:

  1. All information submitted is accurate.

  2. There are risks inherent in golf and I accept liability for all such risks.

  3. My name or photo can be used in publicity promotions or on the website.

Once your entry form has been successfully submitted,
click on the link "return to form"to return to this page and
click on the "Pay Now" button to submit your paymentfor the Championship

YOUR ENTRY IS NOT CONFIRMED UNTIL YOUR PAYMENT HAS BEEN RECEIVED!

Entry Fee