THE U.S. OPEN PROMINIGOLF TOURNAMENT

Official Rules

Official Player Registration Form

July 27-July 29, 2012

Send check or money order payable to:

Chicago Ridge Park District
BallFore Miniature Golf Course
6701 W. 107th Street
Worth, Illinois 60482(708)423-3959

Registration begins January 2, 2012
Registration ends July 20, 2012

ENTRY FEE: $150.00 Open Division

 Entry Fee: $20.00 Women's, Seniors, Amateurs, & Team Divisions

Last Name

First Name

NickName

BirthDate

Age

Sex

Home Address	City	State	Zip	Country
Mailing Address	City	State	Zip	Country

Day Phone

Night Phone

Fax Phone

Email Address Birthdate

PLAYER MINI-PROFILE Please tell us about other minigolf tournaments you've participated in, including Masters National events. Be sure especially to mention those where you won or placed. If this is your first-time tournament, indicate that as well. Tell us about your favorite local miniature golf course and what you most like about it. Be sure to include name and the city, state or country in which it's located. How long have you been playing miniature golf? What's your occupation? What are some of your other hobbies and interests?

MEDIA INFORMATION Please list below all local newspapers, television stations and any other media in your community who should receive press releases and other information about your participation in this tournament, especially should you win. Please include their addresses and phone numbers if possible. If not, please include the city, state and country in which the media is located. CONSENT AND RELEASE I hereby consent to the use of my name(s), photographs or other likenesses of me in any present or future information materials, internet sites, broadcasts, telecasts or other promotional forums which the Miniature Golf U.S. Open Tournament Committee, the U.S. Prominigolf Association, Hawaiian Rumble, Hawaiian Village, the TEAM USA Promingolf Training Center, or the USPMGA Championship Tour may develop, which may reveal my participation in the Miniature Golf U.S. Open Tournament or other related event, without further compensation to me other than the opportunity to win and earn the cash purses and prizes set forth in this and other tournaments.

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33rd Avenue South Hwy. 17 North Myrtle Beach, SC 29582 (843) 272-7812

Home | Training Center | Development | History | Links | Contact U.S. ProMiniGolf Association (USPMGA) c/o Hawaiian Rumble, 3210 Highway 17 S N. Myrtle Beach, SC 29582 Phone: (843) 458-2585/(843) 272-7812 Fax: (843) 361-7922 © Copyright 2000 US ProMiniGolf Association, All rights reserved.

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