Entry Form

Austin Men’s City Golf Championship
Austin Parks & Recreation Department
August 2-5, 2012
Entry Deadline
Sunday, July 29, 2012 at 7:00 P.M.
Competition will be 72 holes of Stroke Play. Players play the first two rounds at Lions & Jimmy
Clay Golf Courses. After 36 holes the field will be cut to the low 72 players & ties. The Final two
rounds will be at the Roy Kizer Golf Course.
Please print name by which you wish to be identified.
Payment must be in cash or check (Payable to: City of Austin)
City of Residence:
Round 1 Time Preference:
(Circle One)
Accommodations will be made on a first come, first serve basis – No Guarantees
Eligibility for age consideration of top Junior, Mid-Am & Senior is based on age as of August 2, 2012.
I am eligible under the following rule: “entries are open to amateur golfers that reside in the Austin Metropolitan area.
This area includes Travis, Hays, Burnet, Caldwell, Williamson & Bastrop Counties.” I understand that this competition is
for amateur golfers and I certify by this entry that I conform to the UDGA Rules of Amateur in every respect. I
understand that the burden of proof of USGA amateur status will be my responsibility. I agree to the Championship
regulations. I have noted requirements for acceptance of places, exempt players and number of qualifying spots entry
deadlines. I understand that I have not entered the competition until I have filled out the entry form completely and have
paid in full. I agree that this entry is subject to rejection at any time (including during Championship) by the Tournament
Committee. The reason for rejection may include unbecoming conduct.
For official Use Only
Date Entry Received

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