1 Intro2 Player One3 Player Two4 Billing Information Parents may play with multiple children. Please fill out a form for each child. Who: POA Members And Immediate Family Only! Where: Brittany Golf Course When: Saturday August 8th 2020 Format: 2 Person Scramble - Tee Times Will Be Early A.M. Tees: Men: White Tees, Women: Red Tees Jr Boys: 6-10 Junior Tees, 11-13 Red Tees 14-17 White Tees Jr Girls: 6-13 Junior Tees, 14-17 Red Tees Entry Fee: Entry Fee: $10 per Child plus applicable green/cart fees. Includes Flight Awards. Box lunch will be provided. *Registration and cancellation deadline is 5 p.m. August 5th, 2020 Late Fee* Price: $10.00 Current Date Date Format: MM slash DD slash YYYY Player 1* First Last Player 1 Member ID (Leave Blank if Non-Member)Is Player 1 Age 6 to 18*YesNoPlayer 1 Entry Fee* Price: $10.00 Player 1 Green\Cart Fees*Annual Golf Green Fee ($0)Member Seat Lease\Private Cart ($0)Activity Card ($5)Member ($13)Non-Member ($20)Jr Player 1 Green\Cart Fees*Kids First ($0)Activity Card Jr ($13.50)Paper Member Card Jr ($15.50)Non-Member Jr ($17.50) Player 2 Name* First Last Player 2 Member ID (Leave Blank if Non-Member)Is Player 2 Age 6 to 18*YesNoPlayer 2 Entry Fee* Price: $10.00 Player 2 Green\Cart Fees*Annual Golf Green Fee ($0)Member Seat Lease\Private Cart ($0)Activity Card ($5)Member ($13)Jr Player 2 Green\Cart Fees*Kids First ($0)Activity Card Jr ($13.50)Paper Member Card Jr ($15.50)Non-Member Jr ($17.50) Billing Name* First Last Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Email* Billing Phone Number*Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Total $0.00 Cancellations made day of the event and no-shows will not receive a refund.EmailThis field is for validation purposes and should be left unchanged.
Parents may play with multiple children. Please fill out a form for each child.
*Registration and cancellation deadline is 5 p.m. August 5th, 2020
