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2007
Tournament Players Association of Southwest Florida, Inc.
Amateur Tour
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225 NW 10th Street
Cape Coral, Fl. 33993
Phone : 239-458-0754
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Tour Membership & Tournament Entry Form
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TPA Membership Request
NAME_______________________________PHONE#:_________CELL#_______
ADDRESS________________________CITY_____________ST:____ZIP:______
EMAIL ADDRESS_________________________
Date of Birth_________________
$120.00 ANNUAL MEMBERSHIP FEE AND SIGNED PLAYER
AGREEMENT MUST ACCOMPANY THIS FORM AND EMAILED TO THE TPA OFFICE
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PAYMENT
[ ] MasterCard/Visa__________________________________
Exp: _________
Player Signature_________________________________________Date:___________
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PLAYER AGREEMENT
I have read and understand and agree to abide by the 2007 Tournament
Players Association of Southwest Florida, inc. policies, rules & regulations.
I agree to assume all risks associated with the tournament(s) described
above and to hold harmless the TPA, the hosting golf course or clubs,
their officers, directors, employees and agents from any and all claims
or causes of action, including any attorney's fees and court costs due
to any injuries or damages I may sustain or cause in connection with above
mentioned tournaments.
I am an independent contractor and not an employee of the Tournament Players
Association. As an independent contractor, I am responsible for my own
personal liability insurance.
I hereby request to enter the tournament(s) listed above, subject to approval
by the TPA.
I understand that I will be responsible for a $100.00 penalty if I
withdraw from an event with less than 3 days advance notice. Entry deadline
is Wednesday of tournament week at 5 pm Eastern Standard time.
Upon approval by the TPA of my application for entry, I grant and assign
to the TPA the right to use my name, personal likeness, voice, and autobiographical
material in connection with advertisements, promotions, and publicity
for the Tournament Players Association Tour and the tournaments described
above.
Player Signature:____________________________________________Date:_______
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