Website: www.georgechiugolfclassic.com

Adult 2-Person Scramble Tournament Application Form
George Chiu Golf Classic - Adult 2-Person Scramble Application Form
Event Date: August 24, 2024
Location: Woodington Lake Golf Club

Player 1 Information:

Full Name:

Address:

Phone Number:

Email Address:

Handicap (if applicable):
Team Information:

Team Name:

Cardholder's Name:
© Copyright 2013. George Chiu Golf Classic Inc.  All rights reserved.  
Signature of Player 1:
Date:

Signature of Player 2:
Date:
Card Number:
Expiry Date:
CVV:
Player 2 Information:

Full Name:

Address:

Phone Number:

Email Address:

Handicap (if applicable):
Entry Fee and Sponsorship Options:
  • Standard Entry Fee:$700 per team
(Includes hole sponsorship for the Junior Tournament and participation in the 2-Person Scramble)
  • Gold Sponsor:$1,500
(Includes all benefits of hole sponsorship, plus one round of golf at the National Golf Club)
  • Diamond Sponsor:$5,000
(Includes all benefits of Gold Sponsor, plus an additional team in the scramble, two rounds of golf at the National Golf Club, and a table for 8 at the dinner banquet)
  • Lunch Sponsor:$1,000
(Includes lunch recognition and one team in the scramble tournament. Three sponsorships available)
  • Cart Sponsor:$1,000
(Includes cart recognition and one team in the scramble tournament. Two sponsorships available)


Payment Method:
Credit Card Information: (if applicable)
Terms and Conditions:
Emergency Contact Information:

Name:

Phone Number:

Relationship to Player:
Dinner Banquet Confirmation:
Additional Notes or Dietary Restrictions:
​(Please specify any dietary restrictions or additional notes regarding your participation.)

Please print (Ctrl + P) it as PDF, and send it to:
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Credit Card
Check
Online Payment (e.g., PayPal, Stripe)
Other
I agree to the Terms and Conditions.
Yes, we will attend the dinner banquet.
No, we will not attend the dinner banquet.