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Name:
Address:
A value is required.
City, State, Zip:
A value is required.
Phone #:
Email:
Shirt Size:
I am interested in in sponsoring a hole. Please contact me.
I am interested in registering a foursome (each golfer must register individually).
I am registering as a single golfer.
If you are golfing in a foursome, please enter the names of the other golfers so we can match you up.


Please send me information about next year's outing as soon as the details have been decided.

LIABILITY WAIVER
I know that participating in golf is a potentially hazardous activity and that I should not enter unless I am medically able and properly trained. I agree to abide by any decision of an event official relative to my ability to safely complete the outing. I assume all risks associated with participating in this event including, but not limited to: falls, sprains, contact with other participants, golf cart usage, golf balls, the effects of the weather, including high heat and/or humidity, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the BuxMont Torch FC and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.  

Please make a selection.I Agree to the above
Name: Date:

 

 


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