Canadian Deaf Golf Championships 2023 Registration Form

Golfer Registration Form
Hosted by

www.theranchgolf.com

Google Maps/Location: Acheson, AB

Dates: July 17 to 20, 2023

Early Bird Deadline: May 31, 2023
Regular Registration Deadline: June 1 to June 30, 2023

Contact Information:
Grant Underschultz, CDGC 2023 Chairperson
at GrantUnderschultz97@gmail.com
Participant Details

One Per Golfer
Full Name*

First Name Last Name
Email*
Purpose to send email to you for score update, group pairing and tee time.
Phone Number (Text)*
Purpose to contact you if any issue arises,
Address*

Street Address

Street Address Line 2

City Province

Postal Code
Categories
You must have prior experience or are currently playing for the competitive category. For others, please select the recreational category.
Preferred Category*

Competitive: Super SeniorsCompetitive: SeniorsCompetitive: MenCompetitive: LadiesRecreational
Handicap Score
Average Score
Registration Payments
Today Date*

MonthDay Year

Registration Fee*
prevnext( X )
Early Bird RegistrationDeadline for this price before May 31, 2023.
$350.00CAD

Regular RegistrationRegular Registration is between June 1, 2023 to June 30, 2023.
$400.00CAD

Total

$0.00CAD
Payment Method*
Please pay ADSA with e-Transfer.
Email e-transfer to: info@albertadeafsports.ca
Password: CDGC2023
The cheque/bank draft payable to "Alberta Deaf Sports Association"

Please mail out the cheque/bank draft to:

Alberta Deaf Sports Association
Attention: CDGC 2023 Registration
#205, 11404 - 142 Street
Edmonton, AB T5M 1V1
Any concerns/dietary restrictions:
Waiver & Release
Please acknowledge:*

I will follow the rules and regulations of the national event.I release the CDGC event organizers and ADSA for any responsibility in case of an accident, illness, or injury.I am aware that this event may be cancelled at any notice.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.
Participant's Signature

Clear
Date Signed*

MonthDay Year
Date
Parent/Guardian Signature (If participant is below 18 years old)

Clear
Thank you for your registration!

We will get back to you with confirmation and more details shortly after each registration period. If we have any questions we will contact you through email.
Should be Empty:

Golfer Registration Form