PDGA Sign Up

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


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 The Woods at Lake Russell, 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 THU 9/9/10 8pm EST. A $2.50 handling fee will be charged on this registration. Charges will show up on your credit card as "FRISBEES8885969347".