ESPN National Golf Challenge - Site Registration

Registration

Welcome to our Local Host Site online registration / information section.

This form is for 2010 Tournament Host Site registration requests only.

To become a Local Qualifying Site for the 2010 ESPN National Golf Challenge

Please submit the online registration form only if you are interested in hosting a Local Qualifying for the 2010 Tournament. You will be contacted promptly to discuss your participation. Local Qualifying Sites are restricted in some areas.

Local Qualifying Sites may host on any date(s) they wish between January 1, 2010 to July 15, 2010. You may host multiple times and accumulate players from each event.

Individual player/participants must contact the Local Host Site directly for information or registration

NOTE: If you wish to include any additional hosting dates please use the comments section in the form.

Registration

*Required Fields.

*First Name:

*Last Name:

Your Title:

*Contact Phone:

- -

*Email Address:

*Facility Name:

*Address:

*City:

*State:

*Zip:

*Facility Phone:

- -

Fax:

- -

Facility Home Page(URL):

*Host Type:

Qualifying Date:
(YYYY-MM-DD)

Leave blank if date has not yet been decided. You may host more than once. Enter 1st hosting date here and enter date 2 in comments.

Ship To Information:

Check here if the Ship To Address is the same as the Facility Address.

Ship Address:

Ship City:

Ship State:

Ship Zip:

Comments:

Optionally, you may complete your registration now by agreeing to our terms and conditions
set forth in the "Agreement" by entering your name and checking the check box below.

I, , certify that I have read, understand and accept the terms of the "Agreement".