LOCAL GOVERNMENT NOMINATION FORM

MAIN EVENT
Friday 20 August 2021

18 Hole Stableford (Best 3 of 4 scores to count)

Question Title

* 1. LOCAL GOVERNMENT

Local Government

Email address

Postal address

Contact number

Delegated contact person for event

Delegate's contact number

TEAM ONE

*PLEASE NOTE: players will be required to play off a handicap of 18 for men and 25 for women unless they have a Golf Link handicap and can present their card to support this.

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* 2. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/Allergies

Transport required (Yes or No)

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* 3. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 4. Player Three

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 5. Player Four

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

TEAM TWO

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* 6. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 7. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 8. Player Three

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 9. Player Four

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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NOMINATON FEE: $480 PER TEAM

Local governments are welcome to nominate more than one team, however if there is a surplus of nominations, the organising committee may limit local governments to one team.

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Thursday 19 August 2021
2 Person Ambrose

*PLEASE NOTE: players will be required to play off a handicap of 18 for men and 25 for women unless they have a Golf Link handicap and can present their card to support this.

TEAM ONE

Question Title

* 10. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

Question Title

* 11. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

TEAM TWO

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* 12. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

Question Title

* 13. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

TEAM THREE

Question Title

* 14. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

Question Title

* 15. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

TEAM FOUR

Question Title

* 16. Player One

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

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* 17. Player Two

Name

Gender

Handicap (max 18 men, 25 women)

Shirt Size

Dietary requirements/allergies

Transport required (Yes or No)

NOMINATON FEE: $170 PER TEAM

CARTS
Carts are limited contact Julie Chester 0427 291 223 to secure a cart OR bring your own

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* 18. Anything else we should know?

SUBMIT ENTRIES BY FRIDAY 18 JUNE 2021

Teams will receive a confirmation letter with their specified tee-off times once all nominations have been received and finalised.

LOCAL GOVERNMENT NOMINATION FORM

MAIN EVENTFriday 20 August 2021

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* 1. LOCAL GOVERNMENT

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* 2. Player One

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* 3. Player Two

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* 4. Player Three

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* 5. Player Four

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* 6. Player One

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* 7. Player Two

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* 8. Player Three

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* 9. Player Four

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* 10. Player One

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* 11. Player Two

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* 12. Player One

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* 13. Player Two

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* 14. Player One

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* 15. Player Two

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* 16. Player One

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* 17. Player Two

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* 18. Anything else we should know?

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MAIN EVENT
Friday 20 August 2021