National Amputee Golf Association
Registration for the NAGA Championships, Stallion Mountain Golf Club in Las Vegas, NV. October 25-28th, 2021
Player Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Shirt Size
Please Select
Mens Medium
Mens Large
Mens X Large
Mens XX Large
Mens XXX Large
Womens Small
Womens Medium
Women's Large
Womens X Large
Please select your shirt size.
Information on Sport Classifictions
Sports Classification
Please Select
G1-Above Knee
G2-Below Knee
G3-Multiple Affliction (Legs)
G4-Unassisted Arm
G5-Assisted Arm
G6-Multiple Afflictions (Arms)
G7-Multiple Affliction (Arm & Leg)
G8-Neurological
G9-Seated no trunk control
G10-Seated with trunk control
G11-B1 blind
G12-B2 blind
G13-B3 blind
G14-Short of Stature
G15-Special Olympics Level 5 Competitor
Please select which sports classification you play in, as defined by the USAGR.
Division
Please Select
Mens
Mens-Senior
Mens-Junior
Womens
Womens-Senior
Womens-Junior
9-hole
Associate
Please select which division you are playing in.
What is your current GHiN Handicap?
If you don't know please leave blank or enter "Don't Know"
Are you planning on bringing a caddie, having someone ride along or just want to ride solo? Because there are limited number of carts available at Stallion Mountain during events like ours, to serve both the tournament and paying public, the course charges an individual cart fee of $50 to be paid at clubhouse pro shop. These carts are based on a first come first serve availability. NAGA assumes no guarantee that individual carts will be available.
Yes
No
Awards Dinner Meal Selection
Please Select
Beef
Chicken
Vegetarian
Award Dinner Meal Selection(Guests)
Please write in name and choice (ex John Doe, Chicken)
My Products
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Tournament Entry Fee
Includes: 3 tournament rounds of golf at $37.00 each round , $25 Annual NAGA Membership Dues, Opening Ceremonies Banquet, Four days of Lunch, Awards Banquet meals and a NAGA golf polo.
$
275.00
Senior Tournament Entry Fee (Ages 50 and over as of 1/1/2021)
Includes: 2 tournament rounds of golf at $37.00 each round , $25 Annual NAGA Membership Dues, Opening Ceremonies Banquet, Four days of Lunch, Awards Banquet meals and a NAGA golf polo.
$
225.00
Tournament Entry Fee: 9-Hole Division
Includes 2 tournament rounds of 9-hole golf, $25 Annual NAGA Membership Dues, Opening Ceremonies Banquet, Lunches, Awards Banquet and a NAGA golf Polo
$
195.00
(Optional) Practice Round
Includes: Greens Fee for 1 practice round at $37.00 .
$
37.00
(Optional) Guest Lunches-all 4 days
Includes: Lunch for one (1) Guest, for all 4 days.
$
60.00
Quantity
0
1
2
3
4
(Optional) Guest Meals-Opening Ceremonies and Awards Dinner
Includes: Meals for one (1) Guest to both the Opening Ceremonies and to the Awards Dinner.
$
70.00
Quantity
0
1
2
3
4
Requested partners for Scramble
If you are wanting top be part of a team for the Scramble, please enter other golfers names here and we will try to accommodate.
Lodging
NAGA has blocked rooms at Sam's Town Hotel. When calling the Hotel to book your room use code AGA1L10 for a rate of $83 (+ applicable taxes) for most of the nights with the exception of one night the room charges are $128 (+applicable taxes) because of demand and availability that evening. ROOMS MUST BE RESERVED BEFORE SEPTEMBER 24th, 2021. After that the Hotel makes no guarantee that rooms are available and you will be charged the standard rate if available. Room Reservations Department direct at 877-593-5993
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