MPSGA 2017 TOURNAMENT SIGN UP – APPLICATION

(Member of the Golf Association of Michigan and the USGA)

Single Day Tournaments: (all shotgun starts) (6/4/17)

Day / Date / Course / Time: / Code / (Please
Circle
Choices) / # Entered / Cost
Saturday / May 13 / Glacier / 9:00 AM / A / 1 / $80
Tuesday / May 23 / Majestic Closed / 9:00 AM / B / 2 / $145
Saturday / June 3 / Polo Fields – Washtenaw GC / 9:00 AM / C / 3 / $205
Tuesday / June 13 / Huntmore / 9:00 AM / D / 4 / $265
Tuesday / June 20 / Lyon Oaks Closed / 9:00 AM / E / 5 / $325
Saturday / July 8 / Gateway / 9:00 AM / F / 6 / $375
Thursday / July 13 / Boulder Point / 9:00 AM / G / 7 / $425
Thursday / July 20 / Polo Fields – Ann Arbor / 9:00 AM / H / 8 / $475
Tuesday / July 25 / Coyote Preserve / 9:00 AM / I / 9 / $525
Tuesday / Aug 1 / Fieldstone / 9:00 AM / J / 10 / $575
Saturday / Aug 12 / Dunham Hills / 9:00 AM / K / 11 / $625
Thursday / Aug 17 / Cherry Creek / 9:00 AM / L / 12 / $675
Tuesday / Aug 22 / Coyote / 9:00 AM / M / 13 / $720

Total Single Day Tournaments Requested: _____ Enter $ amount from corresponding # above: $______

Note: Full membership coupled with GAM & USGA privileges are provided to those who sign up for 4 or more events. As we expect most tournaments to fill up, all applications must include payment for at least 4 of the 16 events (single day, state, match play or annual) to have acceptance confirmed prior to April 15, 2017. Any application requesting 3 or fewer tournaments will be reviewed on April 15 -- with acceptance based on availability. Note below: Each applicant is requested to provide his preference for course length -- considering his age/handicap/comfort zone.

** Course Length Preference: Back Tees (6200-6400)_____, Middle Tees (5900-6100)_____, Forward Tees (5600-5800)______, No Preference (Set by most recent index relative to the field at each particular tournament as in prior years)______.

2017 Signature Tournaments (Please Circle Choices)

Code Event Date Time Location Cost

P MPSGA Match Play June 27-28 (Starting times) Twin Lakes $150 ______

(27 holes each day, tee times starting at 9:00 AM)

S State Open-Amateur Aug 28-30 9:30 AM Polo Fields Ann Arbor & Washtenaw GC

(Please Select a Flight Option)

Option S1) Gross/Net Championship w/Senior, Super-Senior & Legend Divisions $255 ______

(For players with handicaps of 20 or less)

Option S2) Traditional 3-day net only tournament $245 ______

(For players of all handicap indexes) Request 6,000 yards ______, Request 5,700 yards ______.

Note: State Tournament will be played Mon/Tue/Wed. For option 1, Seniors (age 50 & up) will play approx. 6,300 yards, Super-Seniors (age 65 & up) will play approx. 6,000 yards and Legends/Grand Masters (age 70 & up) will play approx. 5,700 yards. For option 2, players may select net only flight at either 6,000 or 5,700 yards.

T MPSGA Tournament of Champions/Scramble, Annual Meeting & Awards Ceremony:

Thursday, September 14, 2017 9:00 AM Dunham Hills $60 ______

Total Single Day Tournaments Cost: $ ______

MPSGA Match Play Cost: $ ______

State Tournament Cost: $ ______

Tournament of Champions/Annual Meeting Cost: $ ______

Total Cost: (make checks payable to MPSGA) $ ______

Name: ______USGA Index: ______

Address: ______Other Index: ______

City/State/Zip: ______(other handicap index from?) ______

Phone #: ______Date of Birth: ______

E-mail: ______(required for GAM/USGA membership through MPSGA)

If I qualify, I Would______Would Not ______be interested in participating in the Challenge Cup event to be scheduled likely in mid to late September 2017

Mail application and check to: MPSGA, PO Box 531324, Livonia, Michigan, 48153

Questions to 734-207-7888

Please provide any additional comments you may have below.