2017 Canadian Open Entry Form

ENTRY FORM 

2017 ISPS Handa Canadian Open Blind Golf Championship

August 14 - 16 

Kings Forest Golf Club

Hamilton, Ontario, Canada

PLAYER INFORMATION:  

Name:

Address:

 

City, State:                                                                               Zip:

    
  
 
 

Country:                                                          Tel No:

    
 
  

Cell No:                                                          E-mail:

    
 
  
 

COACH’S NAME:                                                                    E-mail:

    
 
  
 

SHIRT SIZES:  please put an x before the appropriate size:

Player:  (  ) S (  ) M (  ) L (  ) XL (  ) XXL, (  ) XXXL   ­(  ) men’s  (  ) women’s

Coach:  (  ) S (  ) M (  ) L (  ) XL (  ) XXL (  ) XXXL   ­(  ) men’s  (  )women’s

CURRENT IBGA HANDICAP: 

(note: players participating in this tournament must have an IBGA handicap.)

Please place an x before the appropriate selection 

SIGHT CATEGORY:      (  ) B1          (  ) B2                (  ) B3

I want to play a practice round on Monday August 14    (  ) Yes   (  ) No

I want to play in the Claude Pattemore Memorial Scramble on August 17

(  ) Yes    (  )  No

My coach wants to play a practice round on Monday, August 14:  ­(  )Yes   (  )No

My coach wants to play in the Claude Pattemore Memorial Scramble on August 17

(  ) Yes    (  )  No

I accept the conditions of this entry as set forth in the information letter provided.

Signature:                                                                                                Date:

 

The $250 registration fee plus additional guest dinners, must accompany this form.  Make checks or money orders payable to Ontario Visually Impaired Golfers in Canadian dollars.

Mail to:

OVIG

Glenn Babcock

25 Lander Crescent

Thornhill, ON, L4J 8V2

Canada

Return this form before April 30, 2017