Please use this form for individual or group entries. For each player, if there is an official handicap, please enter below. If no official handicap, please enter a fair estimate:
Are you:
Player 1
Your answer
Handicap (Player 1)
Your answer
Player 2
Your answer
Handicap (Player 2)
Your answer
Player 3
Your answer
Handicap (Player 3)
Your answer
Player 4
Your answer
Handicap (Player 4)
Your answer
Team information
If you would like to play in a specific pair with someone listed above or who has entered separately, please indicate the names of the pair below.
We can also put two pairs together to play in a foursome. Please indicate the names of the foursome below. This can either be entrants on this form or others that have been submitted separately.
Pairing / foursome details:
Your answer
Non-Golfers
Please enter details of guests joining us for the afternoon buffet and prize-giving:
Name 1
Your answer
Name 2
Your answer
Name 3
Your answer
Name 4
Your answer
If there are any special dietary requirements for golfers and/or non-golfers, please indicate here:
Your answer
Payment
Your place(s) is not secured until we receive payment.
Please pay by bank transfer to: Derby Grammar School Account number: 10150444 Sort code: 20-25-85
(Golfer - £45, non-golfer - £15)
Confirmation
On receipt of the booking and payment we will confirm your place and send further information, including tee-off times, ahead of the event.
A copy of your responses will be emailed to the address you provided.