First Name:
    Last Name:
    Phone #:
    Email Address:
    Foursome Requested:
    I, the undersigned, as a condition of my participation in the events described above, hereby release and waive Western LAMPAC, its Steering Committee, Officers, Agents, Contractors, and Sponsors, from any damages, liability, or costs incurred by me or my family arising out of the 2023 Spring Golf Tournament being hosted in Honolulu, Hawaii, and attendance at the awards reception hosted at the 2023 Spring Western LAMPAC Conference being held at the Hilton Hawaiian Village Waikiki Beach Resort, including but not limited to the consumption of alcoholic beverages, golfing or the acts of other individuals participating in such events; and further agree to hold harmless said co-sponsors for any damages, injuries, or liabilities to which I have contributed, arising out of said activities. By submitting this form, this is considered your authorization.

    Cost and Information:

    Cost is $125.00 per golfer and includes: green fees, golf cart, practice balls, breakfast, lunch, and 2 script tickets for items off the beverage/food cart.
    The golf tournament starts at 8:00 a.m. with a shotgun start.  Awards will be presented at the reception on the evening of Monday, March 20, 2023.

    If you would like to pay by credit card, please use the Golf Fee PayPal button found on the menu bar on the main page of our website, or mail us a check to: Western LAMPAC, PO Box 6414, Kent, WA. 98064. If you have questions, please contact us at kelliemcguire@westernlampac.org or call us at (206) 584-6515.  No refunds will be given after March 10, 2023.  Golf payments must be paid prior to the tournament.

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