U.S. KIDS GOLF – NSW STATE CHAMPIONSHIPS REGISTRATION FORM U.S. KIDS GOLF – NSW STATE CHAMPIONSHIPS REGISTRATION FORM TOURNAMENT: NSW State ChampionshipsLOCATION: Bankstown Golf Club, 70 Ashford Ave, Milperra NSW 2214DATE:7th August 2016 COMMENCING AT: 1230amPLAYER'S NAME:* First Last Gender* M F ADDRESS* Street Address City State Zip Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EMAIL* AGE:* DOB* CONTACT DETAILS ON THE DAYPERSON* First Last PHONE*Has the player attended any Bankstown Golf Lessons?* Yes No When? What did they do? Does the child suffer from dietary needs, allergies, medical needs or conditions? If so what?Does the child wish to play with another specific child? If so, who; (Note pairings can only be of kids the same age and gender)Will a parent or guardian be with the child at the tournament?* Yes No All children aged 8 & Under must be accompanied by a Parent/GuardianI give permission to US Kids Golf to use images of my child at the Tournament to appear on the US Kids Golf website and/or social media.* Yes No Bankstown Golf Club and/or U.S. Kids Golf Australia Pty Ltd accept no responsibility for any situation or injury arising from the tournament.Name* Date* DD slash MM slash YYYY PAYMENT DETAILS $40.00 Visa / Mastercard No Expiration Month123456789101112Year20152016201720182019202020212022202320242025CCV Name on Card First Last Event Conditions Age Categories – Medals Awarded For 1st, 2nd, 3rd Boys Boys 6 & Under – 9 Holes Boys 7 – 9 Holes Boys 8 – 9 Holes Boys 9 – 9 Holes Boys 10 – 9 Holes Boys 11 – 18 Holes Boys 12 – 18 Holes Boys 13-14 – 18 Holes Boys 15-18 – 18 Holes Girls Girls 7 & Under – 9 Holes Girls 8-9 – 9 Holes Girls 10-11 – 9 Holes Girls 12-14 – 18 Holes Girls 15-18 – 18 Holes Note: Age as of day of Tournament Entries Entries Close On 3rd August at 1700. There are no late entries. Tee times will be sent out on the 5th August by 1700. Weather The event goes on rain, hail or shine. Only lightning or an “Act of God” will postpone or cancel the event. Entry Fee Entry Fee is not refundable if the player withdraws after 1700 hours on 3rd August 2016. Event The event is considered a ‘’played event’’ if 4 of 9 or 10 of 18 holes are played by the last playing group. Entry fees are not refunded if the event is considered a “played event”. Prizegiving Prizegiving will be held immediately after the last playing group is finished. Indemnity All Players, Caddies and Associates play or attend this event at their own risk. Golf Carts Can be hired for the Tournament – Cost: $35.00 Caddies All players are encouraged to have a Caddie. All children 8 & Under must have a Parent/Guardian (over 18) as a Caddie Δ
