1Player Information2Billing Information Open to Members Age 18 and over with a verifiable handicap. Entry Fee - $35.00 plus Green/Cart Fees. Must be 50 years or older to participate in the senior division. Players may only play in one division. Must have a Bella Vista Handicap, you will be paired in threesomes. Gross and Net Prizes in each Flight, trophies for Flight winners. Gross Prizes in Championship flights only. Tee Times: 8 AM Tee Times Mens Open Division: Championship Flight - Blue Tees (MUST DECLARE). Remaining Flights and Tees will be based on participation. Based on Handicap. Men's Senior Division: Championship Flight - Blue Tees (MUST DECLARE). Flights are based on age: Flight A - 50 to 59, Yellow Tees. Super Seniors Flight - 60 - 74, White Tees. Legends Flight - 75+, Red Tees. *Registration deadline is August 17th, 2022Entry Fee* Price: HiddenCurrent Date MM slash DD slash YYYY Player Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Member ID* Green\Cart Fees* Member ($66) Annual Seat Lease\Private Cart ($36) Annual Golf Green Fee ($0) Subtotal $0.00 Billing Name* First Last Billing Address* Same As Player's Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Total $0.00 Cancellations made day of the event and no-shows will not receive a refund.PhoneThis field is for validation purposes and should be left unchanged.
*Registration deadline is August 17th, 2022
