2017 ACCELERATED GOLF TOUR SERIES
APPLICATION FOR ENTRY
MEMBERSHIP NOT REQUIRED
ENTRY FEE FOR APRIL 1-2 EVENT: $150; ENTRY FEE FOR ALL OTHER EVENTS: $175
DISCOUNTED FEE PER EVENT when you sign up and pay for 3 events or more: $150
Mary Lou LaPlaunt, Entry Director

PLEASE READ: Complete the Application for Entry. The entry form will be forwarded to the AGT Entry Director who will issue a PayPal invoice requesting payment for the events entered. When the PayPal payment is completed and approved, an email of acceptance will be sent to the parent email account. Any player wishing to receive permission to use a golf cart may not submit an online Application for Entry. To access the necessary ADA information and postal entry form, Click here.

PLEASE COMPLETE THE FORM FOR ALL ENTRIES.

Player Division       ( You must select one option.)

To complete this form after selecting the Player Division, click First Name then use the tab key to advance to the next field.

Player Name First Name      Last Name
Address
City/State/Zip City      State      Zip
Phone Home   (000-000-0000)      Cell
Gender Male     Female
Emergency Contact Name
Email Addresses Student    Parent
Date of Birth     
High School Division   Grade Completed    (9, 10, 11 or 12)
College Division College Name      
Events Please select the events that you wish to play by checking the box labeled 'Enter' to the left of the event listed.
Enter Day/Date Location
April 1 - 2, Sat/Sun Annbriar Golf Course, Waterloo, IL
June 13 - 14, Tues/Wed Dalhousie Golf Club, Cape Girardeau, MO
June 21 - 22, Wed/Thurs Annbriar Golf Course, Waterloo, IL
June 25 - 26, Mon/Tues Bogey Hills Country Club, St. Charles, MO
July 6 - 7, Thurs/Fri Norwood Hills Country Club, St. Louis, MO
July 10 - 11, Mon/Tues St. Clair Country Club, Belleville, IL
July 13 - 14, Thurs/Fri Aberdeen Golf Club, Eureka, MO
July 19 - 20, Wed/Thurs The Missouri Bluffs, St. Charles, MO
July 27 - 28, Thurs/Fri Far Oaks Golf Club, Caseyville, IL
August 2 - 3, Wed/Thurs Whitmoor Country Club, St. Charles, MO
August 7 - 8, Mon/Tues Forest Hills Country Club, Chesterfield, MO
PayPal Payment Option Information: PayPal invoices will be issued according to your selection below. A PayPal invoice payment must be processed and approved before your name will be entered into a tournament event.
   If you choose to pay for all tournaments selected above, one PayPal payment invoice will be issued to the parent email address. When the PayPal payment invoice is processed and approved by PayPal, your name will be entered into the tournament/s selected above. and you will receive an email confirming your entry.
   If you choose to pay for each selected tournament individually, you will be issued an invoice for each selected tournament. It will be your responsiblity to process the applicable PayPal payment invoice at least seven days prior to the opening day of the selected tournament. IF slots are available, you will receive an email confirming your entry.


Entry Fees: Entry fee for April 1-2 Annbriar event is $150; the entry fee for all other events is $175. If you select and pay for 3 or more events, the entry fee for each event will be reduced to $150. (You must pay the full $450 for three events to received this discount.) All events include golf, range balls and automatic entry into event drawings.

PayPal Payment Selection:       (You must select one option.)

I UNDERSTAND THAT THIS ENTRY IS SUBJECT TO APPROVAL OR REJECTION AT ANY TIME (incuding during an event by the AGT Administrator.  I have read the PERTINENT TOURNAMENT INFORMATION contained in the AGT Invitation available online and AGREE TO THE SPECIFICS. No refunds of accepted entries will be made within 7 days of an event without a doctor’s letter. A $25.00 service charge will be deducted, per event, from all refunds. Upon completing and submitting this online entry form you are agreeing to the terms stated in this paragraph. 

DATE:      (mm/dd/year)

PLEASE VERIFY YOUR INFORMATION ABOVE!
Print a copy of this entry for your records!


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Contact us at Entry Director if you experience any problems filling out this form.

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Click Submit below to email this entry form to the AGT Entry Director. You will be notified by email of your acceptance
and directed to PayPal for your tournament fee payment.