2025 Kentucky Amputee Charities Tournament Registration
May 30th, 31st & June 1st, 2025 Shelbyville Country Club, Shelbyville KY.
Your Information
Fill this section out with your information.
Players Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Is this your 1st time at our tournament?
Yes
No
Are you a military veteran?
Yes
No
Division and Sports Classifications
What group will you be playing in.
Division
*
Open
Womens Open
Senior (55-69)
Super Senior (70+)
9-hole
Junior (under 18)
Associate
Ages as of 5/1, Able-bodied or "normies" can play in the Associate or 9-hole divisions but will not receive trophies.
2022 USAGA Standards and Player Ranking
Type of Disability/Amputation and Sport Class
*
Above Knee (G1)
Below Knee (G2)
Multiple Leg (G3)
Arm-Unassisted (G4)
Arm-Assisted (G5)
Multiple Arms (G6)
Arm & Leg impairment (G7)
CP/MD (G8)
Seated-no truck control (G9)
Seated (G10)
Blind (G11, G12 or G13)
Short Stature (G14)
Intellectual Disability (G15)
Associate/Normie
Please select your sport classification
If you are in either the G9 or G10 sports classes, Do you require Kentucky Amputee Charities (KAC) to help provide you with an adaptive cart for the weekend? KAC can not guarantee that we can provide you with a cart, but we will try our best to accommodate with our local partners. Please understand that the use of a normal wheelchair on the course is prohibited, only the use of an approved adaptive golf cart will be allowed at Shelbyville Country Club.
Yes
No
If Yes, which type of adaptive cart do you prefer?
Solo Rider
Paragolfer
Other
Your selection doesn't guarantee that MWAGA will be ale to provide an adaptive cart for you, but helps us to ensure you can get your preference based on availability.
EDGA Pass Number
Verification of physical disability. If you currently don't have one you can enter "N/A". A Medical Classifier from Shirley Ryan Ability Labs will be on site to classify you if this is your first Competitive event. If you have competed in an WR4DG event in the past you can find your EDGApass number on EDGAGolf.com under EDGA Registered Players
Send us a picture of you playing golf. (optional)
Browse Files
This picture will be used in part of a social media announcement of you playing in our event.
Cancel
of
Individual Carts & Caddies
To track how many cart will be needed tournament weekend.
Because there are limited number of carts available at Shelbyville Country Club during events like ours, to serve both the tournament and its members, the course is charging Kentucky Amputee Charities (KAC) a cart fee of $60 for the weekend for any player choosing to have their own cart or having a caddie/ride along spectator. This fee needs to be paid up front during registration. Failure to pay the fee will result in the player riding with another player. If you choose not to have an individual cart you will be paired with another player during tournament play. KAC makes no guarantees of any additional carts being available for players or spectators wanting to purchase day of the tournament. Additional cart availability is based on a first come first serve basis and at the discretion of Shelbyville Country Club and are in no way guaranteed. KAC assumes no guarantee that individual carts will be available for spectators.
*
I understand
Are you planning on riding individually in a cart, with a caddie or spectator?
*
Yes, I plan on riding individually, with a caddie or spectator
No, I do not plan on riding individually, with a caddie or spectator
Caddie or Ride alongs Name?
First Name
Last Name
Lodging
There are several hotels in and around Shelbyville. At this time, the Board is working on a block of hotels for a group rate at the Best Western in Shelbyville. We will notify you when that information becomes available to share.
Payment
Click on each choice that applies to you and your guests.
My Products
prev
next
( X )
Tournament & Scrmable Entry Fee: Adaptive Player
$
175.00
Includes: Friday golf round in the Scramble (1pm shotgun) with lunch before the round (11am). Rounds on Saturday and Sunday (8am shotgun) in the Amputee Tournament with Lunch following each round.
Tournament Only Entry Fee: Adaptive Player
$
100.00
Includes: Rounds on Saturday and Sunday (8am shotgun) in the Amputee Tournament with lunch following each round.
Scramble Entry Fee
$
75.00
Includes: Golf on Friday in the Scramble (11am shotgun) and lunch following the round.
Guest Fees (Saturday Banquet & Sunday Awards Buffet-Meals Only)
$
30.00
Saturday Banquet and Sunday Awards
Quantity
1
2
3
4
5
6
7
8
9
10
PAR Level Sponsorship
$
500.00
Includes a Threesome of Golfers for all events on Friday and Sponsor Signage for the entire weekend.
BIRDIE Level Sponsorship
$
1,000.00
Includes a Threesome of Golfers for all events on Friday and Title Sponsorship Signage for the entire weekend.
EAGLE Level Sponsorship
$
1,500.00
Includes a Threesome of Golfers for all events on Friday and 2 Title Sponsorship Signages for the entire weekend.
Enter coupon
Apply
Total
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: