Thursday August 8

Elmcrest Country Club - E. Longmeadow, MA

(This event is a MGA points tournament)

Entry form must arrive by August 1, 2002

Send Entry To:

Steve Cotela, Elmcrest Golf Shop, P.O. Box 353, East Longmeadow, MA 01028

Make Check or Money Order Payable to Elmcrest Golf Shop (No cash please)

Please call August 7th for your tee time (413) 525-8444

Eligibility: Amateur golfers with USGA Index NOT Exceeding 8.5

Entry Fee: $90 includes: golf cart, range balls, lunch and prizes

Format of Play: 18 holes stroke play. MGA Points Awarded to Low 10 scores and ties. Senior division for players 55 and older.

Pairings made by committee - No Requests

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Check for $90.00 and Handicap Verification Must Accompany Entry, Incomplete Entry will be Rejected.

Name (Please Print) _________________________________________________________

Address: __________________________________________________________________

City: _______________________________________ State: _________ Zip: ____________

Home Phone: ______________________ Age: _______________ GHIN# ______________

Participant hereby agrees to indemnity and hold WESTERN MASS CHAPTER PGA's harmless from and against any and all claims which may arise attributable to Participant's participation in WESTERN MASS AMATEUR CHAMPIONSHIP TOURNAMENT. This indemnity shall be inclusive of but not limited to claims such as injuries sustained, property loss, damage sustained, or any other claim attributable to participant's participation in the tournament.

I agree to abide by the Western Mass Chapter PGA's Tournament Rules and Regulations:

Signature: ___________________________________________________________________