Liberty Bell Golf

Ladies' & Men's Golf Entry Form

In the interest of fairness to the entire field, we will continue to use the lottery tee time system. We need your help to make this a success. Please fill out the form below IN ITS ENTIRETY. All forms MUST be received by JUNE 1st. Tee times will be emailed starting on JUNE 9th and be posted on the Liberty Bell Website. After the LOTTERY deadline, you MAY STILL enter using this form or by CALLING 516-470-9705. Please direct all further tee time inquiries to that number: PLEASE DO NOT CALL ANY CLUB DIRECTLY: Thank you. PLEASE NOTE: Guests are permitted in 2022!

Billing Information

Member: *Please note you will be billed using the account information below.

Last Name *

First Name *

Contact Phone: *

Contact Email: *

Club *

Account *

GHIN # *

Partner:

Last Name *

First Name *

Contact Phone: *

Contact Email: *

Club *

Guests Home Club: *

Account Number: *

GHIN # *

Please Bill me for my Partner. Only members of PRC, Creek & MBH can be billed.

Gender *

Men's Living Legends
(Both Players Over 55) *

Yes

No

Ladies' Living Legends
(Both Players Over 55) *

Yes

No

We will be participating in the scratch division
* All participants in the scratch division MUST play MBH & The Creek courses first and MUST be available to play PRC on Monday, July 4th from 11:30-12:30. Monday Tee Times to be assigned Sunday, July 3rd. *

Yes

No

Tee Time Requests

I am requesting to play on: (Choose No More Than 3) *

Thursday 06/30/22

Thursday Club *

Thursday Requested Tee Time

Do you need to be paried with another twosome? *

Yes, Pair

No

Please Provide Other Twosome Names *

Please note: Creek Tee Times will begin at 8 AM on Thursday.

I will be playing 36 holes on Thursday

Yes

No

Thursday Club *

Thursday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

Please note: Creek Tee Times will begin at 8 AM on Thursday.

Friday 07/01/22

Friday Club *

Friday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

Please note: Creek Tee Times will begin at 8 AM on Friday.

I will be playing 36 holes on Friday

Yes

No

Friday Club *

Friday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

Please note: Creek Tee Times will begin at 8 AM on Friday.

Saturday 07/02/21

Saturday Club *

Saturday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

I will be playing 36 holes on Saturday

Yes

No

Saturday Club *

Saturday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

Sunday 07/03/21

Sunday Club *

Sunday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

I will be playing 36 holes on Sunday

Yes

No

Sunday Club *

Sunday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

Monday 07/04/21

Monday Club *

Monday Requested Tee Time

Do you need to be paried with another twosome? *

Pair

No

Please Provide Other Twosome Names *

All cancellations must be received by June 24th at 5:00 P.M, instructions are provided on the Liberty Bell Website.

Tee times will be emailed starting on JUNE 9th and be posted on the Liberty Bell Website.

LOTTERY ENTRY DEADLINE - WEDNESDAY, JUNE 1ST, 2022

Notes: Please indicate special requests and additional information as necessary.

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PLEASE NOTE: TO BE ELIGIBLE FOR GROSS GOLF PRIZES COMBINED HANDICAPS MUST BE 6 OR HIGHER.

Please email me updates

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