LRLGL 2024 Registration Form

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LAKE RIDGE LADIES GOLF LEAGUE (LRLGL)12350 Cotton Mill Drive, Woodbridge, VA 22192LRLGL REGISTRATION FEE: $50.00 MONDAY/TUESDAY – LRLGL GREEN FEES: $10.00 KICKOFF MEETING: 12 MAR 2024, 09:30 AM at the Lake Ridge Golf Course Clubhouse

I have read and agree to the following participation agreement. *

PARTICIPATION AGREEMENT: The Prince William County Park Authority assumes no liability for injuries or damages from the results of participation. Due to the strenuous nature of some activities, the participant is urged to consult her physician concerning ability to participate. All activities present inherent risks and hazards, which the participant assumes. I hereby approve of my participation in the recreation program. To the best of my knowledge, there are no physical or other conditions, which will interfere with my participation.

I have read and agree to the following publishing release: *

You have my permission to use my photo in Lake Ridge Park authorized publications or web sites.

Last Name *

First Name *

Email Address *

Enter email address you prefer for league correspondence (may be different than email address for google form)

Which type of membership *

Social

Competitive

Cell Phone Number *

Format: 123.456.7890 (If no cell phone please type None)

Home Phone Number *

Format: 123.456.7890 (If no home phone please type None, DO NOT repeat cell phone #)

Street Address *

City, State, & Zip Code *

Birth Month & Day *

Emergency Contact *

Enter Last Name, Suffix, First Name

Emergency Contact's Relationship *

Emergency Contact's Phone Number *

Format: 123.456.7890

Attended the kickoff meeting on Tuesday,

12 Mar 2024

I will golf predominantly on *

Select whether you will mostly golf on Monday evenings or Tuesday mornings

First Timer to LRLGL *

LRLGL = Lake Ridge Ladies Golf League

I am interested in being a Big Sister to a new member *

Selection of Big/Little Sister = You are bringing a Little Sister into the League

Little Sister or Big Sister's Name

Indicate the name of the Little Sister you are bringing into the League or if you are new to the league and know a league member who is going to be your Big Sister indicate her name

Delivery Of Registration Payment *

**Please make checks patate to the "LAKE RIDGE GOLF COURSE" and mail to Bonnie Little, at 11759 Buckley CT, Woodbridge, VA 22192

Date Paying Registration or Mailing Payment *

For Mailing Payment: Enter date check mailed or the date you plan to put your check in the mail

Amount Paid *

Enter the amount you are paying. Should be $50.00 unless special circumstance.

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