ARKANSAS STATE GOLF ASSOCIATION
15TH SENIOR MATCH PLAY CHAMPIONSHIP
EAGLE HILL GOLF & ATHLETIC CLUB
LITTLE ROCK, ARKANSAS
MAY 20-23, 2003


ENTRY DEADLINE- Entry must be received by 5:00 p.m. Friday, May 9, 2003.

 Entry fee is $75 per player 

Name        Age   Date of Birth 
Address    Handicap Index  
City           Zip Code 
Phone         E-Mail Address 
I am an individual member of   GHIN Number
Name on Credit Card

       

I understand that my entry is subject to rejection at any time (including during the Championship) by the ASGA or the Eagle Hill G & AC.  The reason for rejection may include unbecoming conduct.  Any questions shall be settled by the ASGA, whose decision is final.  I hereby upon submitting this entry, that the ASGA and the Host Club are not responsible for personal injury during this championship  I have read the USGA Rules of Amateur Status and conform with those rules in every respect.

Please Print the Confirmation Page to Confirm Your Entry Form was received by the ASGA.  This Does Not Mean Your are Entered in the Tournament.