Entry Form - Golf Queensland

2017
NEW SOUTH WALES
AMPUTEE GOLF OPEN
Golf Australia Ranking Event
European Disabled Golf Association Ranking Event
to be played at the
Riverside Oaks Golf Resort
12 - 13 August 2017
Entry Fee:
$200.00 – Amputee tournament includes two rounds of golf with carts, one
nights luxury accommodation (Twin Share)
Inclusions:
Two rounds of golf, luxury accommodation (twin share), breakfast,
tournament dinner and prizes
Format:
36-Hole stroke and nett Championships (max. 70 players)
Tee Time:
Multi-tee start each day
GA Handicap Limit:
Men 36.0 Women 45.0
Entries Close:
Saturday 1st August 2017
Entries Close:
5.00pm on Monday 13 March 2017 or prior if a capacity field is reached.
Amputee Golf New South Wales Inc.
2A Edward Street, Miranda NSW 2228
Phone: 0402 428 160 Email: [email protected]
2017 NSW Amputee Golf Open – TOURNAMENT CONDITIONS
(To be read in conjunction with the Golf Australia Standard Event Conditions published on the Golf Australia Website at golf.org.au
1.
1.1
1.2
1.3
1.4
1.5
2.
2.1
2.2
3.
3.1
3.2
3.3
3.4
3.5
4.
COMPETITION PROCEDURES
The Championship is scheduled to be played over 36
holes Stroke play.
The field for the Championship will be limited to 70
players with entries accepted on an as received basis.
The player with the lowest stroke score after 36 holes
shall be the 2017 NSW Amputee Golf Open Champion.
The player with the lowest nett score after 36 holes
shall be the NSW Amputee Golf Association Handicap
Champion.
All ties shall be decided by count-back as
recommended by Golf Australia.
ELIGIBILITY
Eligible players are male and female amateurs who
qualify under the Amputee Golf NSW definitions of
impairment and whose Golf Australia Handicap at the
time of entry does not exceed 36.0 (men) 45.0
(women) strokes in accordance with the Australian
Handicapping System.
Entries will be restricted to amateurs and professionals,
who are members of clubs affiliated with Golf Australia,
or of golf clubs registered with such State or Overseas
Associations as are affiliated with or recognised by this
Association.
ENTRIES
The entry fee is $200.00 (incl. GST). Entry fee must be
paid at the time of entry.
Amputee Golf NSW shall have the right to refuse the
entry of any person without being required to give any
reason for such refusal.
Entries shall only be made on the official entry form or
online at www.amputeegolfnsw.org.au
The draw for the competition will be sent to players and
available at amputeegolfnsw.org.au approximately one
week before the event.
Entry forms that are received before the specified
opening date will not be accepted.
TROPHIES
Trophies will be awarded for:

36-Hole Gross – NSW Amputee Open Champion
and Runner-up, Ladies Champion & Runner Up,

36-Hole Nett – Nett Champion, Mens & Womens,
Non Amputee
No player may win a trophy in both the stroke and nett
sections.
5.
CHAMPIONSHIP COMMITTEE
The Committee shall consist of Amputee Golf NSW,
Golf Australia representatives and the Match
Committee of the Club upon whose course the rounds
are being played.
In the absence of a full
Championship Committee, such members thereof, as
may be present at the time, may give a decision so
given shall be deemed to be a decision of the full
Championship Committee.
In the event of bad
weather, or for any other reason, the Championship
Committee may shorten the competition, appoint
another day or days for completion of, or may transfer
play to another course. Protests must be made to the
Championship Committee not later than 10 minutes
after the conclusion of each round.
6.
REFUND POLICY
Any entrant may withdraw and have their entry fee
refunded provided notification is received within three
working days prior to the commencement of the
event. Under no circumstances will entry fees be
refunded after this date unless players can provide
Amputee Golf NSW supporting documents regarding
their withdrawal from the event (ie. Medical Certificate).
7.
MOTORISED TRANSPORT
Carts will be made available for participants for the
tournament. The cost of golf cart hire over the
tournament is included in the tournament entry fee.
8.
DATABASE OF COMPETITOR’S DETAILS
The personal information you provide in the relevant
event entry form is collected, used and disclosed in
accordance with the Golf Australia Privacy Policy
(available from www.golf.org.au). Golf Australia may
use and disclose your personal information for the
purposes of conducting the relevant event,
administering golfing and other related activities across
Australia, providing you with event-related services or
promotional material, complying with legal obligations
or otherwise in accordance with the Golf Australia
Privacy Policy.
Golf Australia may share your information, including
contact details, date of birth, gender, qualifications or
communication history, with third parties such as, State
Golf Associations and companies engaged to carry out
functions and activities on Golf Australia's behalf,
including sponsors and direct marketing or otherwise in
accordance with Golf Australia's Privacy Policy. In
certain circumstances, your information may be
disclosed overseas, for example to the International
Golf Federation.
The Golf Australia Privacy Policy contains information
about how you may access and request correction of
your personal information held by Golf Australia or
make a complaint about the handling of your personal
information, and provides information about how a
complaint will be dealt with by Golf Australia. Your
relevant event entry may be rejected if the information
is not provided. If you do not wish to receive
promotional material from Golf Australia sponsors and
third parties you must advise us via email or telephone
or via the specific opt-out procedures provided in the
relevant communication.
2017 NSW Amputee Golf Open
Riverside Oaks Golf Resort
12 - 13 August
ENTRY FORM
TAX INVOICE – ABN: 25 599 206 693
Competitor Name
(BLOCK Letters)
(Surname)
(First Name)
Mailing Address
Suburb
//
Date of Birth
(Compulsory)
Postcode
State
Home Phone
Mobile Phone
Email
Home Club
GOLFLink
Number

GA Handicap
Dietary
Requirements
Amputee
Status
Above Elbow Below Elbow
Amputee Golf
Association
(Required)
Above Knee
A.G Vic
Below Knee
Q.A.G.A
A.G. NSW
S.A A.G.A
Sat 12th
Sun 13th
Sun 13th
Round 1
Round 2
Pres. Dinner
Multi
Other
Other
Please Specify
Please circle All events you will be attending
Events
Shirt Size
S
M
L
XL
XXL
Sun 13th
Pres Dinner Only
3XL
4XL
Women Please Specify
Amputee Entry Fee: Includes two Rounds of Golf, Lunch & Presentation Dinner; $200
Single accommodation rate: $300, Non Golfer Accom. $320
Please use your name as a reference when using Electronic Funds Transfer.
Forward Payment to Amputee Golf NSW Incorporated; BSB 032-069 Acc. No. 184 131
Signature
Date
I am eligible under the conditions of the championship, am an amateur golfer in accordance with the Rules of Amateur Status as approved by the
R&A Rules Limited and will adhere to Golf Australia’s Codes of Behaviour for the duration of the Championship. I have provided either a valid
GOLFLink No. or a current handicap record verified by my home club.
Entries close at 5.00pm on Tuesday 1 August 2017 or prior if a capacity field is reached.
Return to: Amputee Golf NSW
2A Edward Street, Miranda NSW 2228
Phone: 0402 428 160 Email: [email protected]