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Bottineau County and City 125^th Anniversary

Golf Tournament Registration

 

www.bottineau.info

 9 hole Scramble

One Registration form per player is required

 

Name ___________________________________________

 

Address___________________________________________

 

City___________________ State_____ Zip Code__________

 

Home Phone _______________Work Phone____________________

 

E mail address_________________ Age________Male____Female___

 

Emergency Contact ___________________Phone Number_____________

 

Preferred Foursome

 

1.________________________________3._____________________________

 

2.________________________________4.______________________________

 

Release and waiver (Please Read and sign)

In consideration of my entry, I my heirs, executors and administrators waive all claims , release from all liability and agree to hold harmless Bottineau County 125^th, it’s agents , sponsors for this event for any and all injuries and damages suffered by me in connection with this event. I understand that this tournament entails personal risk, including serious bodily injury and even death, and I voluntarily assume that risk. I recognize the physical exertion involved in the event and attest and certify that I am physically fit to compete safely, and I have not been advised otherwise by a health care professional.

 

          

       Signature     _______________________    Date_________________