Name and phone # of person to be contacted in case of emergency


Contact: _____________________________ Relationship: ________________


Home phone:______________________ Alternate phone: ____________________


Tour Player Bio


Place of Birth: _______________________ Height: ________ Weight:________ Date of Birth: ___________________________


Wife: _______________________________ Children:_______________________________________________________________


Favorite Ball: __________________ Favorite Club: ____________________________

I hereby apply for membership in The UGA. I understand that my application is subject to the approval of The UGA in its sole discretion and that it may be rejected without liability at any time, provided however, that all applications shall be accepted and consideration given for entry in the order received without regard to race, religion, color, martial status, gender ancestry, or national origin.

I agree to abide by the policies and procedures of The UGA as amended or supplemented from time to time. I expressly agree to assume all risks associated with the tournament play and to hold harmless The UGA, the hosting golf course, and their officers, directors, employees, and agents from any and all claims or causes of action, including attorneys’ fees and court costs, on account of any injuries or damages I may sustain or cause in connection with such tournament(s).

In consideration of The UGA’s approval of my application for entry, I expressly grant and assign to The UGA the right to use my name, personal likeness, voice and autobiographical material in connection with advertisements, promotions, and publicity for The UGA and the tournament(s).


_______________________________________________

Signature

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