GALIANO GOLF AND COUNTRY CLUB

Part of the "Golf the Gulf Islands" partnership

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or Call 1-877-539-5511 and ask us to fax, mail, or email you a copy

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GALIANO MIXED OPEN - ENTRY FORM

Mark apreferred tee times:

c Saturday 8 AM & Sunday 1 PM

c Saturday 1 PM & Sunday 8 AM

	Handicap	Brunch
Player Name	Factor or N/A	Yes / No

	Dinner	Brunch
Guest Name	Yes / No	Yes / No

WAIVER

The applicant/registrant is aware of and assumes all risks of bodily injury or property damage, including specifically, but not exclusively, the risk of being injured by thrown or stuck golf balls or clubs or by actions of spectators, players, or others in attendance. The Applicant agrees that Galiano Golf & Country Club, including its Directors, Officers and employees, as well as other competitors in the tournament, are not liable for any injuries or property damage resulting from such causes or any others.

I HAVE READ THE TERMS AND CONDITIONS OF THIS ENTRY FORM AND WILL ABIDE BY THEM

CONTACT PERSON (REGISTRANT):		Player Signature

Name
Tel.
e-mail