Golfers Entry Form Golfers Entry Form Personal DetailsName (As registered in Golflink).* First Name Last Name Preferred Name*(for I.D. Lanyard) Gender* Male Female Golflink Number* Email*(Your email and phone number will be the only methods of contact with you) Enter Email Confirm Email Phone Number (Preferably Mobile)* Address (State Only)*A.C.TN.TN.S.WQLDS.ATASVICW.AGolf Player Entry Fee Price: Home Golf Club DetailsVeteran’s Golf District Association*(Your current registration and hence eligibility for this event will be checked with your district and your State Veteran’s Association) Home Golf Club Name (As registered in Golflink)* Date of Birth*(you must be 55 years or older on 20 th October 2024 to be eligible for this Veteran’s event) Day Month Year Emergency Contact Name* Emergency Contact Phone*Do you have a current medical condition that you would like to advise us of, should you have a related medical event during the golf week?* Yes No Answer in DetailsGolfing Partners or Playing Spouses to be drawn to play at the same course on Championship Days.The Event committee will make every effort to have golfing partners and playing spouses drawn to play at the same golf course (but not in the same playing group) during the championship. E.g., We recommend that players travelling to the Riverland in the same vehicle may hereby request to be drawn to play at the same golf course on each event day (regardless of grade or gender) to assist your transport requirements. Yes No Names of Golfing Partners or Playing Spouses (Names as registered in Golflink)First NameLast NameGolflink Number I will be bringing my own Motorized Golf Cart for use on all days.* Yes No I wish to Hire a Motorised Golf Cart (Shared) at $20 per person per day.*Yes – on all days as it is a priority for valid medical reasons. ($80)Yes – on all days only if sufficient carts are available at the venues. ($80)Yes – on alternate days only if sufficient carts are available at the venues. ($40)No cart requiredDietary Requirements*(Any dietary requirements throughout the week at golf courses or venues in the Wednesday social program) Yes No Dietary Requirements DetailsDo you have a MiScore Australia wide user subscription to use during the event, or do you intend to purchase one?* Yes No Four Ball Better Ball (Monday 21st October)* 4 BBB Partner required, to be organised by event management. I have a 4 BBB partner (details below) who has also submitted an entry form. 4 BBB Partner’s Name* First Last 4 BBB Partner’s Golflink Number* Wednesday Tour (Extra cost $50)Will you be participating in either of the organised tours on the rest day Wednesday? Buses are provided. Yes No Which Tour?* Wilkadene Brewery Banrock Station Wine and Wetland Wednesday Tour Cost Price: Presentation Dinner at full capacityYour AVGU Championship 2024 Event Committee now advises that bookings for the PRESENTATION DINNER have reached capacity. GOLF ENTRIES, SOCIAL EVENT AND TOUR REGISTRATIONS are still being accepted on the entry forms until the playing capacity of the golf courses is reached. For more information see our Latest News page. Reached capacity Presentation Dinner and End of Event Celebration*At the Award-winning Renmark Club (Extra cost $85). Includes a two-course dinner, live music and bus transport from Loxton, Berri and Barmera. Yes No Presentation Dinner and End of Event Celebration Extra Cost Price: Do you wish to order a Polo Shirt as pictured below?*View Sizes Extra cost $50 Yes No Male Polo Quantity*View Sizes Extra cost $50 Price: $ 50.00 Quantity Shirt Sizes (Male Polo)* * Insert size you want or insert '0' if not buyingFemale Polo Quantity*View Sizes Extra cost $50 Price: $ 50.00 Quantity Shirt Sizes (Female Polo)* * Insert size you want or insert '0' if not buying Golf Player's FeesGolf Cart FeeWednesday TourHiddenPresentation DinnerExtras TotalTotal $ 0.00 Payment Method*Select a payment method Credit Card Direct (Bank Deposit) Processing Fee*1.9% Processing Fee Price: $ 0.00 Direct bank payment EFT to: Barmera Golf Club Inc. AVGU Account BSB: 105052 Account number: 051077340. Reference your payment with: Your Entry ID Registration Number ( # Cross-referenced in form) and Last name (cross-referenced in form) (Entry will only be processed upon receipt of full payment)Credit Card Payment Selected. Please submit the form and you will be forward to secure payment page. Credit CardVisa & Mastercard OnlyThe Stripe Card field cannot work when the Payment Collection Method is set to Stripe Payment Form (Stripe Checkout). Consent* I have read and accept the Privacy Policy and Terms & Conditions HiddenUntitled HiddenUntitledHiddenUntitled HiddenUntitled HiddenUntitled HiddenList
