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September 2010
 
Item: Georgia Super Six Series #5 11th Annual Lake Russell Open
SKU: GSSS5-0910
Georgia Super Six Series #5 11th Annual Lake Russell Open
Online Signup

 
Georgia Super Six Series #5 11th Annual Lake Russell Open
PDGA Sanctioned - C-Tier
September 11-12, 2010

Lake Russell DGC - Elberton, GA

Tournament Director: Keith Johnson
Email: keit...@aol.com (click the dots to reveal)
Phone: (305)720-8422

Tournament website: www.supersixseries.com
Quick LinkTM: Players / Results

Online registration preferred. Pre registration required. No registration day of.

Field limited to 72 players.

8/1/10 4:45pm EST Note: Online registration for this event has closed. Event has filled.

 
PDGA Number
 
Gender (required)

Not a PDGA member? You can sign up after completing this page by clicking on the MEMBERSHIPS link.
 
Male
Female
 
 
 
Players First Name (required)
 
Players Last Name (required)

 

 
 
 
Players Phone (required)

(XXX)XXX-XXXX
 
Address (required)
 
APT / STE #

 

 
 
 
City (required)
 
State / Province (required)

 

 
 
 
Zip / Postal Code (required)

 
Date of Birth (required)

(mm/dd/yy)
 
Players Email

Choose your division and confirm selections for options that may appear below.

NOTE: (required) indicates that a selection must be made... 'Not Selected' is a valid selection [ie No].

 
PROFESSIONAL Divisions
 
AMATEUR Divisions
 
Non PDGA member temp fee (required)
I am a current PDGA member (or JUNIOR)
I am NOT a current PDGA member (add $10.00)
 
Hole Sponsorship (required)
Not selected
Tee sign only (add $25.00)
Tee sign and CFR Disc (add $35.00)
 
Player Waiver (required)

Your typed name shall be considered equivalent to your signature on a paper form. The legal date will be the date that this form is submitted for processing through this online signup system.

"I hereby hold blameless and fully release the Professional Disc Golf Association (PDGA), the tournament directors, local and state park services, and all tournament partners/sponsors and individuals or parties associated with the Georgia Super Six Series #5 11th Annual Lake Russell Open, from all liability of personal damage or injury which I may incur before, during or after my participation in this event. I accept fulland sole responsibility for any damage I may cause through negligence and/or malice, including damages or injuries caused by my own throws in practice or competition.

I also recognize that the PDGA, event staff, and any other media outlets covering the event have the right and responsibility to record the event and participants via video and still photography. Such photography may be used for event publicity, public information or any other promotional use that falls within PDGA or event activities."

Note - A Parent or Guardian must sign if player is under 18 years of age.

 
Other Notes (required)
Thanks Again!

Entries must be received by FRI 9/3/10 8pm EST.

A $3.75 handling fee will be charged on this registration.

Charges will show up on your credit card as "FRISBEES8885969347".

 

 
 
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