2025 NAGA Tournament Registration

NAGA 2025 National Amputee & Adaptive Championships Registration

August 26th-28th, Wallingford CT
Player Information

Fill this section out with your information.
Players Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Is this your 1st time at NAGA?

YesNo
Are you a military veteran?

YesNo
Select your shirt size?
From the list below, please select your type of amputation. An amputee is any individual with an amputation at a major joint (wrist, elbow, shoulder, ankle, knee or hip) a individual with the total loss of the use of a limb or congenital limb deficiency as defined by the the NAGA Bylaws. *
If not an Amputee please select "N/A".
From the list below. please select your Division you will be competing in. *
Ages as of 1/1/2025, Able-bodied or "normies" can play in the Guest Division, all other non-amputee adaptive players will play in the Associate division.
Due to liability issues, NAGA will not provide SoloRiders and/or Paramobles for this tournament. Players will be soley responsible for the transportation of their own cart. Each of the courses can proivide a place to charge carts overnight for the duration of the tournament. The use of a wheelchair is not acceptable for the preservation of the golf course and the play of all involved. If you are using any adpative equipment it needs to be such as that it doesnt damage any part of the golf course.

Below are links to inquire about cart availablility:

www.solorider.com

www.standupandplayfoundation.org
EDGA Pass#
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
Eligibility to play in the NAGA Adaptive Championships is open to all NAGA members, Associate members (Friends and family), and participants competing. Life memberships are open to any individual with an amputation at a major joint (wrist, elbow, shoulder, ankle, knee or hip) as defined by NAGA bylaws. An Associate membership is a non voting membership that is offered to anyone who wishes to join our group to participate in our annual championships. Associate membership is open and available to anyone who desires to support the National Amputee Golf Association.*

I understand
Membership dues are a part of the registration for the NAGA Amputee Championship. In order to compete for the NAGA Amputee Championship trophy, the Senior NAGA Championship Trophy or the Women's NAGA Championship trophy the player must be an amputee at a major joint (shoulder, elbow, wrist, ankle, knee or hip), a player with the total loss of the use of a limb or congenital defect as described in the NAGA bylaws.*

I understand
Spouse/Guest Name (if applicable)
Please list additional guest or additional needs here.
Payment

Click on each choice that applies to you and your guests. If you are not a lifetime NAGA member, please remember to add the Membership Dues of $25. This fee will need to be collected before your tee off on Day 1.

Tournament Fees

NAGA Championship Player Fees$300.00

Includes: 3 tournament rounds of golf w/lunches, Welcome Players Reception & Awards Dinner.

NAGA Sr Championship Player Fees (55 & older as of January 1st, 2025)$240.00

Includes: 2 tournament rounds of golf w/lunches, Welcome Player Reception & Awards Dinner.

Annual Membership Dues $25.00

2025 Annual Membership Dues. this is required for any member that is not a life time NAGA Member. If you don't add this fee it will be added to your amount due.

(Optional) Guest Meal Fees$70.00

Guest ticket to the Welcome Player Reception, & Awards Dinner.

Quantity

Enter coupon

Total $0.00

Mail-in Payments are Due by August 1st, 2025

To pay by check please print registration and mail the form and checks to: NAGA c/o Brandon Rowland7 Barrett PlaceJackson, TN 38305

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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NAGA 2025 National Amputee & Adaptive Championships Registration

Player Information

Payment

Mail-in Payments are Due by August 1st, 2025