31st Annual Pepsi Bremerton City Amateur at Gold Mountain Golf Club ■ Bremerton, WA Olympic and Cascade Courses 36 Hole Medal Play Sat & Sun, June 6 - 7, 2015 PLEASE COMPLETE ALL INFORMATION $160.00 / player Includes a practice round, 2 competition rounds, prize fund, & lunch on Saturday Registration Deadline May 30, 2015 Player _________________________________________________ Address ________________________________________________ City ______________________ State ______ Zip ______________ Tee Time Preferences Championship Division will play Saturday morning & Sunday afternoon; new pairings based on Saturday’s scores. We will try our best to accommodate other tee time requests but due to a large field, it may not be possible. Email __________________________________________________ Phone __________________________________________________ Home Course ___________________________________________ Practice Round Dates GHIN # ______________________ Hdcp Index ______________ June 1 - 4 Any Time & June 5 After 2pm 30 day advance reservations accepted 360-415-5432 option 4 Senior Division? 50+ (circle one) YES Tee Time Preference (circle one) Early/Late Handicap Information Checks Payable to: Gold Mountain Golf Club Gross Division - hdcp of 3.0 or less Net Divisions - split equally dependent upon number of entries Senior Division - Age 50+ by first day of competition; must specify on entry form. NO AGE ______ Late/Early Return Form to: GMGC PO Box 4130 Bremerton, WA 98312 On-Line Registration: www.goldmountaingolf.com/cityam Gold Mountain Tournament Committee (GMTC) reserves the right to alter any of the conditions and schedules herein. GMTC reserves the right to reject the entry of any applicant at anytime for any reason. Any decision of the GMTC in any matter shall be final.