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Entry Form
Entry Form -
Long Beach Open Amateur Qualifying
First Name
*
Last Name
*
Ghin #
OR
High School/College Team in 2021 or 2022
Home Club (if any)
Age as of July 11th 2022
- None -
7
8
9
10
11
12
13
14
15
16
17
18
Enter YES to confirm you are a professional
OR Avg 18-Hole Score
Average Score (9 Holes)
I'd like to play my first round in:
The AM Wave
The PM Wave
No preference
Address
*
City
*
State
*
- State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Country (If Not U.S)
Zipcode
*
Pairings Request
Walk
Ride
Phone
*
Home Course
I'd like to play my first two rounds on
- None -
Monday PM / Wednesday AM
Tuesday AM / Wednesday PM
No Preference
Email
*
Are Interested In Playing In The Pro-Am?
No
Yes
Gender
Male
Female
Date of Birth
Date of Birth
Enter YES if you are interested in playing in Pro-Am
Early
Friday
Saturday
Championship Flight Only
Fees
Description
Price
Quantity
Entry Fee
$115
0
1
Total
American Golf Corporation does not assume responsibility for an damage, injury, conduct, loss or theft as a result of participating in the tournament.
ALL TERMS AND CONDITIONS OF THE PLAYER AGREEMENT ARE ACCEPTED BY
Click here for Player Agreement
Date
Credit Card Information
First Name
*
Last Name
*
Credit Card Number
*
Expiration Date
*
Month
-Month
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Feb
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May
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Dec
Year
-Year
2022
2023
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2032
CVV
*
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