Application
2013 Carolina Summer Series APPLICATION
$650 membership fee must accompany application
(No Membership Fee Required If You Are Member Of 2013 Regular NGA Tour Pro Series)
$650 membership fee must accompany application
(No Membership Fee Required If You Are Member Of 2013 Regular NGA Tour Pro Series)
Name: S.S.N.: - -
DOB: Age: Height: Weight:
Address:
City: State: Zip:
Home Phone:
Cell Phone:
Cell Phone:
E-mail Address:
Year Turned Pro:
Year Turned Pro:
Birthplace: Hometown:
College: Major:
Hobbies:
Achievements:
Television, Radio, Motion Picture, Photographic, Electronic, Internet, and Similar Rights/Declarations:
I, , hereby grant, without limitation, the NGA Professional Golf Tour the right to use and reassign player’s individual television, motion picture, Internet, and/or other form of audio or video presentation which is now known or hereafter may exist, including, without limitation, free over-the-air broadcast, cablecast, DBS, MDS, satellite radio, broadband, wireless, pay television, subscription television, and on-demand platforms and all other similar rights with respect to his/her participation in the Tournament, including both personal and historical information herein for media and public relations use. I also agree to adhere to Tour policy and procedure, and acknowledge that failure to do so may forfeit my right to play in future NGA Tour events.
The undersigned hereby declares that the forgoing information is true and complete. By submission of this entry, the undersigned also agrees to comply with the regulations set forth by the Open Qualifying Procedures and Information for The NGA Tour.
________________________________ ___________________________________________
(Signature) (Date)
*The NGA Professional Golf Tour reserves the right to reject any application.
Deadline to withdraw membership for a full refund: May 6, 2013
*The NGA Professional Golf Tour reserves the right to reject any application.
