Player Name *

First Name

Last Name

Phone *

(###)

###

####

Gender *

Male

Female

Do you need to purchase additional tickets to the 2023 NCAGA Masquerade Ball *

Yes

No

Payment Method *

Registration Fee $190/player Includes: Golf fee, Range Balls, Lunch, CTP Contest and (1) Free ticket to 2023 NCAGA Masquerade Ball + Dinner

Venmo

Cash App

Zelle

I, hereby confirm and acknowledge that all the information provided is accurate, and understand that all information will remain confidential. I understand that my information provided will be reviewed, and any inaccuracies will be subject to a dispute. *

Yes

No