Main Tournament 
Downriver Golf Course 

Saturday, August 10, 2019

 

 Four Person Scramble

  • Start time is 8:00
  • $160 per player

Entry includes: golf fees, golf cart, Friday night Celebration Dinner at Gus Johnson Ford (6:00 pm-7:30 pm) and Saturday award banquet at Northern Quest Resort & Casino

Awards Banquet features: Music, dinner, live and silent auction, presentations, raffles and awards at Northern Quest Resort and Casino on Saturday, August 10th in the Pend Oreille Pavilion. Doors open at 5:00 pm. Dinner served at 6:30 pm.


Liability Disclosure

In exchange for the privilege to operate a golf cart during this tournament, I hereby accept responsibility for my own negligence and the negligence of any operator of my golf cart. I hereby agree to operate the golf cart in a safe manner, and adhere to all rules set forth by this tournament and Downriver Golf Course, and to ensure that anyone operating the golf cart with my consent does the same.I acknowledge that I am liable for all medical and legal claims that may arise from the use of the golf cart.

I voluntarily agree to accept the risks of using a golf cart and on behalf of myself, my personal representatives and my heirs hereby voluntarily release the Dan Kleckner golf tournament, and its directors, officers, employees, and agents and Downriver G.C. from any and all claims, actions, causes of actions, suits, judgments and demands for bodily injury, property damage, loss of life and/or loss of services, in law or equity, that may in any way or manner arise out of use of the golf cart.


REGISTER YOUR TEAM:

Price per player:

$160.00
* Division To Play In (select one):




* Number of Players:





* Team Captain Name:

* Team Captain Phone Number:

Team Captain Email Address:

Team Captain Dinner:



Player 2 Name:

Player 2 Dinner:



Player 3 Name:

Player 3 Dinner:



Player 4 Name:

Player 4 Dinner:



Additional Non-player Dinners ($50 ea.):






Tee Time / Golf Course:


Who do you want to pair with if you are registering as a single add-on player? :

* Did you read and accept the Liability Statement?: