Local Association Name *

Name of Event *

Date of Event *

Name of Host Club *

Name of Host Superintendent *

Registration Cost *

Name of Guest Speaker(s) *

Guest Speaker(s) Topic or Subject Matter *

Do you need the Carolinas GCSA to apply for pesticide credits *

Do you need the Carolinas GCSA to apply for GCSAA education/service points? *

Please list the meal details: breakfast, lunch, buffet, dinner, etc. *

Is there a limit on the number of participants? *

If so, how many? *

Please list registration time *

Please list golf start time *

Is this a shotgun start? *

What is the golf format? *

Please list sponsor information: sponsorships for long drive, closest to the pin, longest putt, etc. *

Association Contact Person *

Association Contact Person Phone Number *