The National Amputee Golf Association

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Trevor Snow
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The National Amputee Golf Association Is pleased

Open Championship, 30th Senior National Amputee

August 5th, 6th, 7th, 8th & 9th, 2019 Peek n Peak

1 The National Amputee Golf Association Is pleased to present The 71st Annual National Amputee Golf Open Championship, 30th Senior National Amputee Golf Open Championship, & 8th International Cup August 5th, 6th, 7th, 8th & 9th, 2019 Peek n Peak Resort 1405 Olde Road Clymer, NY

2 NAGA 71st National & 30th Senior Amputee Open Golf Championships Tournament Information GOLF COURSE: The Peek n Peak Resort features the Upper Golf Course, a championship caliber, par-72 course, measuring 7,061 yards from the gold tees, with bent grass greens, fairways and tees for optimum playing conditions. Its unique terrain and natural features, including rolling hills, deep sand bunkers, panoramic views and mature woods, create a spectacular atmosphere and beauty that is unrivaled. The Upper Golf Course hosts the PGA Web.com Tour, The Lecom Health Challenge. The Resort also has a Luxury Day Spa, Indoor and Outdoor Pools, Restaurants and Peak Mountain Adventures that includes the Aerial Adventure Course and Giant Dual Ziplines, Segway Tours, Miniature Golf, The Soaring Eagle Zipline and Biking. The 108-room Inn at the Peak offers luxury accommodations, and condominium rentals are also available for guests and large groups. TOURNAMENT: The tournament will be a 54-hole stroke play event for the invited qualifying players. In the event of a tie for the Championship (Men/Ladies/Seniors) there will be a sudden death playoff beginning on hole #1. All other ties will use a card-off process in accordance with the USGA guidelines. The Overall Gross and Net Champion will come from the Championship Tees. All players have the option to play from the Championship Tees including Ladies and Seniors for all 3 days. Note to all participants: If you wish to compete for the overall NAGA championship you must play all three days, score 54 holes, from the Championship Tees. Seniors (50-59), Super Seniors (60-69), and Super-Super-Seniors (70+) will play from the signified Senior Tees. The Senior Championship will be a 36-hole tournament with Tuesday being a practice round and Wednesday and Thursday being the scoring rounds. Please signify on the Entry Form if you will be playing in the Senior Championship Only. To clarify: If a Senior, Super-Senior, or Super-Super-Senior wishes to play for the overall Tournament Title they must play from the Championship Tees and score 54 holes. ELIGIBILITY: All NAGA members and Associate members. The field will be limited to 120 golfers, with consideration given first to life members, and then those members who are current with their 2019 NAGA dues. Current NAGA membership is required for participation in the tournament. If necessary, please include your 2019 NAGA dues with your official tournament application and check the appropriate box. Entry Deadline: July 1st, 2019 ASSOCIATE DIVISION: There will be an Associate Division for all non-amputees. To be eligible the participant must be a NAGA Associate Member in good standing. Awards will be given to the top three participants of the overall Championship Division based on a NET score with a verified handicap. There will also be a Senior Associate Division Champion, with one award being given out. Amputees are first in line for the 120 slots. Associate members entry forms will be date stamped and they will be notified via that their entry form has been received. If there is space available after the deadline date, associates will be added according to the date received. First in wins the slot. Associates will be notified via that they are in the tournament.

3 SUBMISSION OF ENTRY: You can submit your entry form and payment (check or credit card information) to Tournament Finance Chair Deryck Jernigan, th St, Plano, Texas or credit card information to All payments will be paid in US Dollars and paid to National Amputee Golf Championship. QUESTIONS: Please contact Tournament Chair Kellie Valentine at LATE ENTRIES: Tournament Entry Applications received after the entry deadline of July 1st, 2019 will be accommodated on a first-come-first-served basis. Late entrants may or may not receive a tournament golf shirt in the size requested. All entries will be confirmed by . The committee is working on some exciting ideas and additional information about the tournament will be passed along with your confirmation . Please be sure your address is indicated legibly on the entry form. REFUND POLICY: No full refund of fees will be made after July 1st, Should a cancellation of entry and request for refund become necessary, a written request including the reason for the request should be ed to Kellie Valentine at kellievalentine@hotmail.com or mailed to 5410 Blenner Rd, McKean, PA for consideration. PRACTICE ROUNDS: Practice rounds are available Sunday, August 4th, 2019, on a first-comefirst-served basis. The cost is $TBD/round, cart included. We will have a Sponsor Scramble on Monday, August 5th Shotgun start at 12:00 (Noon) You are required to make your own tee times no earlier than 30 days in advance, directly with the Peek n Peak Pro Shop at ( x7426). Please identify yourself as a member of NAGA. The Head Golf Professional is. MONDAY - SPONSOR SCRAMBLE: There will be a Monday, August 5th, Sponsor Scramble with a shotgun start at 12:00 (noon). Awards ceremony directly following completion of play. Teams will consist of foursomes, with 1-3 amputees on one team as well as sponsors. The Fee to play in this event is $ There will be a limit to the number of amputees playing in this event and it will be determined on a first-come-first-served basis. Guests will be welcome to play at a fee of $80.00, if there are spots available. BAG STORAGE: There will be bag storage at Peak n Peek for security and tournament convenience. Please help our golf professionals by using the bag storage and generously compensating them for their services. GOLF HANDICAP: A NET Champion will be determined at the National Championship in There will be only one award and the winner may come from any Division. Only those who have a current valid golf handicap either from the USGA/RCGA or a locally recognized organization will be considered and will be verified prior to the competition. Please fill in the information on your entry form as to your handicap index number and an /phone number where it can be verified. DRESS CODE: Our dress code is designed to maintain an atmosphere consistent with traditions of golf. The Upper Course is a soft spike facility. Men are required to wear golf shirts with collars and sleeves, and either slacks or shorts of appropriate length. Women can wear slacks, shorts, culottes, and golf skirts of the appropriate length with golf shirts (sleeveless tops are permitted).

4 ACCOMMODATIONS: Peek n Peak Resort, 1405 Olde Road, Clymer, NY Room Rate - $ per night excluding Resort Fee ($19.99), Sales Tax (8%) & Occupancy Taxes (5%) * Peek n Peak Resort and Spa does not guarantee specific room type availability. Requests will be accommodated to the best of the property s ability. Leg Amputees should request 1 st accommodations. Check-in time begins at 3:00PM on the day of arrival. Check-out time is before 11:00AM on the day of departure. A $300 security deposit per condominium unit is required and due with advance deposit; payable by check or major credit card; security deposit will be refunded within 5 days of departure, after the unit has been cleaned and inspected; refund processed only to one person (name of guest tile); failure to forward security deposit will result in cancellation of reservation. Condo Rental - 10% off any condo rented for the tournament plus tax and fees Reservations can be made at Peek n Peak Resort by dialing Make sure to identify yourself as a member of the National Amputee Golf Association. * Reservations need to be made on or before Thursday, July 5th, 2019 to guarantee the room rate. 10% discount on SPA Treatments RESERVATIONS REQUIRED: Please mention NAGA when booking your reservation. SCHEDULE OF EVENTS Sunday 8/4 1:00pm - 4:00pm Monday 8/5 12:00am 1:00pm 6:00pm 6:30pm 10:00pm Tuesday 8/6 9:00am Wednesday 8/7 8:00am Potential Adaptive Golf Clinic - Peek n Peak Driving Range Sponsor Scramble Registration Sponsor Scramble - Shotgun Start Upper Golf Course Mandatory Players Meeting/NAGA Business Meeting Resort Welcome Reception (hors d œuvres) Cash Bar Retreat 71st National Championship First Round Tee Times off of #1 Upper Golf Course Open Evening 71st National Championship Second Round & 30th Senior National Championship First Round Tee Times off of #1 Upper Golf Course Open Evening Thursday 8/8 71st National Championship Final Round & 30th Senior National Championship Final Round 10:10am Tee Times off of #1 Upper Golf Course 5:00pm 6:00pm Cocktails (Cash Bar) Retreat 6:30 11:00pm Awards Banquet Golf Casual Dress Requested Retreat Friday 8/9 International Cup Matches 7:30am First Matches, Tee Times off of #1 12:00 1:00pm Lunch /Team Pictures 1:00pm Second Matches, Tee Times off of #1 6:00pm Awards Ceremony

5 Times, and Events are subject to change OFFICIAL ENTRY FORM 71st National Amputee & 30th Senior Open Golf Championships Peek n Peak Resort 1405 Olde Road Clymer, NY August 5th, 6th, 7th, 8th & 9th, 2019 NAME (please print) NAGA Life Member YES NO Spouse/Guest Address City State Zip Country Phone Birth Date Address Veteran YES NO USGA GHIN# USGA INDEX# Average Score (3) Member Golf Club Phone# Amputation Type AE BE AK BK Multiple (specify) Need Solo Rider Shirt Size (please circle one) Men S M L XL XXL Women S M L XL Mail To: NAGA Championship Tournament Attn: Deryck Jernigan th Street Plano, Texas TOURNAMENT ENTRY FEES NOTE: ALL FEES ARE U.S. CURRENCY. MADE PAYABLE TO: NAGA MONDAY 8/5 - SCRAMBLE SCRAMBLE ENTRY FEE: $ $80.00_ Green Fee/Cart, Welcome Reception (hors d oeuvres) Guest $30 each $ TOURNAMENT ENTRY FEE: Green Fee/Cart 3 Rounds, Range Balls 3 days, 3 Lunch Vouchers at Wood n Wedges, $ $350.00_ Thursday - Awards Dinner Buffet Will you be playing in the Open and Senior Divisions? YES NO Senior Divisions Only? YES TUESDAY 8/6 First Round WEDNESDAY 8/7 Second Round THURSDAY 8/8 Tournament Awards Dinner Guest $59 each $ Guest $59 each $ Guest $40each $ NAGA Membership Dues/Associate Membership Dues Must Be Current 2019 NAGA Member to Participate $25.00 $ TOTAL ENCLOSED $

6 PAYMENT OPTIONS CHECK Please make check payable in US Dollars to National Amputee Golf Championship and mail to Deryck Jernigan, Tournament Finance Chair. Should you have questions about payment or membership, please contact Deryck Jernigan at or CREDIT CARD Please print!! Card Type: Visa MC Amex Disc Card Number: Expiration Name(as it appears on card) Security Code Billing Address City St Zip Total Amount to be billed: $ Signature as it appears on your card: ENTRY DEADLINE: JULY 1st, 2019 Check and Credit Card Payments As a service to our members, payment of dues and entry fees for tournaments is available by personal check and credit card. The average charge to NAGA for credit card charges is 6%. In recent years, returned checks and denial of payment on credit card charges have become more pronounced and much time is being expended to resolve the issue. Beginning January 1, 2003, the following policy will apply to any payment to NAGA for dues, entry fees or miscellaneous charges for returned checks or denial of payment on credit card remittances: A letter or will be sent to notify the player that the check or credit card charge has been denied. The notification will specify that the amount due must be paid by a certified check or money order (US funds) to satisfy the obligation. If a payment is rejected for a tournament entry fee, the entry will be denied until the obligation is paid. The member will be placed in non-member status until all obligations are satisfied, including a fee of $25.00 US added to all applicable charges of rejected check/credit card. Should the NAGA member fail to rectify within thirty (30) days of notification, a new application for membership and the appropriate fees will have to be made for reinstatement. Denial of Entry means that the entry to the event is not accepted. In the case where entries are limited by player spot availability, it could result in not participating in the event.

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