2022 U.S. Adaptive Open

Name: 2022 U.S. Adaptive Open
SKU: 1181
Price: 180.00 USD
Availability: InStock

1Player Information

2Handicap Index Information

3Additional Information

4Consent

Links: Eligibility Information » | Entry Process »
General Information
The championship is open to players of all ages. Player’s date of birth is required on all USGA entry forms. An application for a player who is a minor upon the date of submission, in the state in which he/she resides (e.g., New Jersey, under the age of 18) must be submitted by a parent/guardian, and list parent/guardian’s name, phone number, and email address. The parent/guardian must agree to be bound by all terms and conditions on their behalf and on behalf of the minor player. This also applies to a player who has a permanent legal guardian.
Player Name(Required)
First Last
Date of Birth(Required)
Player's date of birth is required on all USGA entry forms
Indicate if the player is a minor in the state which they reside or has a legal guardian(Required)
- Yes, player is a minor
- No, player is not a minor
- Player is not a minor but has a legal guardian
Gender(Required)
Player Status(Required)
Parent/Guardian Information
Parent/Guardian Name(Required)
First Last
Parent/Guardian Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian Email(Required)
Parent/Guardian Phone(Required)
Player Contact Information
Player Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Player Email(Required)
Player Phone
Country of Citizenship(Required)
For non-USA players, the country of citizenship will be used for all championship printed documentation, scoring reports, media coverage, and website.
Preferred Information
For USA players, the city and state from their address will be used for all championship printed documentation, scoring reports, media coverage, and website, unless otherwise indicated below.
Preferred City
Preferred State

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Handicap Index Information
All players must have a Handicap Identification Number. Please confirm that your Handicap Index is active and meets the Championship requirements before completing this application. A player who applies without an active Handicap Index does not meet the Championship requirements and will be withdrawn. Please contact your golf club or local Allied Golf Association if you do not know or have a Handicap ID / GHIN Number or visit usga.org/getahandicap.
Country where Handicap is Established(Required)
Handicap Identification Number
The Handicap ID or GHIN Number is the number assigned to you when you sign up for a membership with an authorized golf club. The number is typically used by the golfer to post scores to their scoring record.
Club Name(Required)
Provide your National Association Affiliation(Required)
Handicap Index(Required)
Handicap Identification Number(Required)
The Handicap ID or GHIN Number is the number assigned to you when you sign up for a membership with an authorized golf club. The number is typically used by the golfer to post scores to their scoring record.
Note: Your handicap index must be 36.4 or lower to be eligible to compete in this championship.

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Additional Information
Impairment Category(Required)
Please select the category most closely related to your impairment. If you would like to provide further explanation, you will be able to in the "Description of Disability" box. Final Impairment Category placement will be determined by the USGA, in consultation with the medical assessor.
WR4GD Pass(Required)
Please provide your WR4GD Pass number. For more information on a WR4GD Pass, please go to: https://edgagolf.com/online/pass/pass_info.php.
If you have been assessed for and/or received a WR4GD Pass, but don’t know your WR4GD Pass number, please contact [email protected].
If you have never been assessed for a WR4GD Pass, please go to: https://edgagolf.com/online/pass/pass_info.php.
A WR4GD Pass is required to enter this championship.
Virtus II1 Number(Required)
A Virtus II1 Number is required for players to be eligible to compete under the Intellectual Impairment Category. More information can be found at: https://www.virtus.sport/applying-for-athlete-eligibility
Description of Disability(Required)
Please describe your disability with as much detail as necessary.
Do you play golf in a cart adapted for seated players?(Required)
- Yes
- No
Description of Adaptive Equipment (Optional)
Please describe any other adaptive equipment (prosthetics, devices, etc.) you use to play golf.
Equipment Photo Upload (Optional)
Please upload photos of any adaptive equipment (prosthetics, devices, etc...) you use to play golf. You can upload up to 5 photos.
Drop files here or

Max. file size: 50 MB, Max. files: 5.
Please list competitive playing record from the last two years, for example, tournaments and finishes, awards, honors, etc.(Required)

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Agreement
Consent(Required)
Whether I am filling out this entry on behalf of the player or for myself, I have the authority to prepare and submit this entry and I have read and agree with the preceding conditions as set forth, including the Championship Regulations.
I agree
Notice Regarding Covid-19: Each individual player is responsible for understanding and complying with any travel restrictions and quarantine requirements and recommendations at the time of the competition. Please familiarize yourself with the requirements and guidelines for any state you may be traveling to or from before registering.
COVID-19 Playing Site Protocol(Required)
Players may be prohibited from participating in a USGA championship if they test positive for COVID-19 or exhibit COVID-19 symptoms. Players who are unable to participate in a USGA championship due to COVID-19 will be refunded their entry fee.

All players who make the final field of a USGA championship will be required to follow all mitigation measures implemented by USGA with respect to COVID-19. These requirements are a condition of competition for all players. In particular, players, caddies and others attending a USGA championship may be required to submit to COVID-19 testing prior to arrival and on-site upon arrival at the championship, follow on-site protocols established by the USGA and comply with limitations set by the USGA on allowing guests at the championship.

I have read, understand and agree to the preceding requirements.

I agree
Sharing of Personal Information with Other Golf Related Organizations(Required)
In addition to the use of your Personal Information as identified in the USGA Privacy Policy, by checking the Opt-In box below, you agree that the USGA may also share your personal information with other golf related organizations, including those conducting golf events. There are many benefits you'll enjoy (see below) when you decide to Opt-In, but it is not mandatory for you to do so for your entry application to be processed. If you Opt-Out, you will still receive correspondence and communications from us relating to the Championship.

The benefit of allowing the USGA to share personal information, such as your email address, with other golf related organizations including golf competition organizers, when requested, is that such organizations may provide you with helpful information regarding upcoming golf events.
- Opt-In
- Opt-Out
The USGA cannot, and does not, make any guarantee that an entry submitted pursuant to this website will be received by the USGA or received in a timely fashion. The USGA shall have no liability with respect to any such delay and/or error and the consequences therefrom, including rejection of an entry. Entries will be automatically rejected by the USGA if received after the date and time set forth on the relevant entry form. Entries submitted with incorrect information or insufficient information may not be transmitted to the USGA. The online application process is not complete until you reach a screen indicating "Your entry has been received." This screen will have a unique ID number on it which you should retain for your records. Please note that this number indicates a receipt of application which will be confirmed by e-mail. The information provided on your entry will be verified, and if the entry is not accepted, you will be notified.

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Category: Uncategorized

2022 U.S. Adaptive Open

General Information

Parent/Guardian Information

Player Contact Information

Preferred Information

Handicap Index Information

Additional Information

Agreement

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