Registration Personal DetailsName* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Preferred Name Address (State Only)* State Email* Phone Number (Preferably Mobile)*Date of Birth* Day Month Year Gender* Male Female Home Golf Club DetailsHome Golf Club* State / Territory*NTACTNSWQLDSATASVICWAGolflink Number* GA Handicap 4BBB partner (optional) 4BBB Partner Golflink Number (optional) Preferred Tee TimeTee time requests cannot be guaranteed but we will endeavour to meet your preference. AM PM Our strong preference is that you use MiScore for scoring.*Do you have a MiScore Australia wide user subscription or do you intend to purchase one? Yes No Emergency Contact Name* Emergency Contact Phone*Do you have a current medical condition you would like to advise us of ?* Yes No If yes, please provide details of the conditionGolf Player Entry Fee Price: Partner Details Details required for Golf Partners or Non-Playing partnersGolf Partner (Spouse)?*Will you be accompanied by a golfing partner (spouse)? Yes No Golf Partner (Spouse) Entry Fee Price: Golfing PartnerGolf Partner (Spouse) Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Preferred Name Golf Partner (Spouse) Email* Golf Partner (Spouse) Phone Number (Preferably Mobile)*Golf Partner (Spouse) Date of Birth* Day Month Year Golf Partner (Spouse) Gender* Male Female Golf Partner (Spouse) Home Golf Club* Golf Partner (Spouse) State / Territory*NTACTNSWQLDSATASVICWAGolf Partner (Spouse) Golflink Number* Golf Partner (Spouse) GA Handicap Does your Golf Partner (Spouse) wish to:* Play on the same course and at the same time as you Play with others in the same grade Golf Partner (Spouse) Emergency Contact Name* Golf Partner (Spouse) Emergency Contact Phone*Does Golf Partner (Spouse) have a current medical condition you would like to advise us of?* Yes No If yes, please provide details of the conditionNon-Playing Partner (Spouse)?*Will you be accompanied by a non-playing partner (spouse)? Yes No Non-Playing Partner (Spouse) Entry Fee Price: Non-Playing Partner (Spouse) DetailsNon-Playing Partner (Spouse) Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Preferred Name Non-Playing Partner (Spouse) Email* Non-Playing Partner (Spouse) Phone Number (Preferably Mobile)* Extras & Payment Golf Carts You (and your partner) will each play two days of golf (including the 4BBB event) at both Darwin and Palmerston golf courses. Walking on both the Darwin and Palmerston Golf Courses is feasible as both courses are quite flat. Rental golf carts will be strictly limited and priority will be given to golfers who need a golf cart for medical reasons.Do you need a golf cart for medical reasons?* Yes (you must present a medical certificate at registration) No For your two days of golf scheduled at the Darwin Golf Course do you* intend to use your own golf cart? want a seat in a shared golf cart for medical reasons? ($20 per day) want a seat in a shared golf cart for other reasons? ($20 per day) want to walk using a rented pull/push buggy? ($5 per day) want to walk using your own pull/push buggy? Darwin Golf Course Shared Golf Cart Price Price: Darwin Golf Course Want Pull/Push Buggy Price: For your Partner's two days of golf scheduled at the Darwin Golf Course does your Playing Partner (Spouse)* intend to use their own golf cart? want a seat in a shared golf cart for medical reasons? ($20 per day) want a seat in a shared golf cart for other reasons? ($20 per day) want to walk using a rented pull/push buggy? ($5 per day) want to walk using their own pull/push buggy? Darwin Golf Course Shared Golf Cart For Playing Partner (Spouse) Price: Darwin Golf Course Want Pull/Push Buggy for Playing Partner (spouse) Price: For your two days of golf scheduled at the Palmerston Golf Course do you* intend to use your own golf cart? want a seat in a shared golf cart for medical reasons? ($20 per day) want a seat in a shared golf cart for other reasons? ($20 per day) want to walk using a rented pull/push buggy? ($5 per day) want to walk using your own pull/push buggy? Palmerston Golf Course Shared Golf Cart Price: Palmerston Golf Course Want Pull/Push Buggy Price: For your Partner's two days of golf scheduled at the Palmerston Golf Course does your Playing Partner (Spouse)* intend to use their own golf cart? want a seat in a shared golf cart for medical reasons? ($20 per day) want a seat in a shared golf cart for other reasons? ($20 per day) want to walk using a rented pull/push buggy? ($5 per day) want to walk using their own pull/push buggy? Palmerston Golf Course Shared Golf Cart for Playing Partner (spouse) Price: Palmerston Golf Course Want Pull/Push Buggy for Playing Partner (spouse) Price: Where you have indicated that you intend to use your own golf cart at either Darwin or Palmerston (or both), are you willing to accept a passenger?* Yes No Note: The cost for renting a seat in a golf cart will be $20 per day. Polo Shirt Orders Please select quantity and sizes below Male Polo Shirt/s Quantity*This shirt is a unisex fit and can be worn by females who prefer not to have a fitted shirt. View Size Guide Price: $ 50.00 Quantity Shirt Sizes (Male Polo) Female Polo Shirt/s Quantity*This shirt is fitted and designed for females. It is recommended to select one or two sizes up from those sizes normally available in shops. View Size Guide Price: $ 50.00 Quantity Shirt Sizes (Female Polo) Golf Player Additional Activities Please select additional activities you would like to participate in belowAre you likely to play social golf at Humpty Doo on Wednesday morning?*See information on the About page of this website. You can book by emailing admin@humptydoogolfclub.com.au Yes No Will your Partner (Spouse) be likely to play social golf at Humpty Doo on Wednesday morning?*See information on the About page of this website. You can book by emailing admin@humptydoogolfclub.com.au Yes No Are you likely to be participating in the mini golf championship at Palmerston Golf Club on Wednesday evening (6.30pm - 9pm)? You will be required to confirm and pay at Registration on Sunday 31 August.* Yes No Will your Partner (Spouse) be likely to be participating in the mini golf championship at Palmerston Golf Club on Wednesday evening (6.30pm - 9pm)? You will be required to confirm and pay at Registration on Sunday 31 August.* Yes No Non-Playing Partner Additional Activities Please select additional activities the Non-Playing Partner would like to participate in belowHalf Day City Sights Tour on Monday 1 September*Discover Darwin's rich history and culture on a half-day tour, with an oreintation of Darwin exploring the Museum and Art Gallery of the Northern Territory, George Brown Darwin Botanic Gardens, and the scenic Waterfront Precinct, while uncovering stories of Cyclone Tracy, the Bombing of Darwin, and Indigenous heritage. Join us for an unforgettable journey through the city's past, present, and future! Yes No Monday Tour (Non-Playing Partner) Fee Price: Crocs, Lunch and Landscapes Day Tour on Tuesday 2 September*Embark on a thrilling day tour starting with a Jumping Crocodile Cruise on the Adelaide River, where you'll watch crocodiles leap from the water, followed by a hearty lunch at the quirky Humpty Doo Pub. End the adventure with a visit to Fogg Dam's vibrant wetlands, teeming with birdlife and wildlife, for a true Northern Territory experience! Yes No Tuesday Tour (Non-Playing Partner) Fee Price: Swim, Lunch and Nature Tour on Thursday 4 September*Discover the beauty of Berry Springs Nature Park with a refreshing swim in crystal-clear waters, and stroll through the monsoonal forests, followed by a relaxing lunch at Berry Springs Tavern. See the croc and other iconic Territory wildlife at the pub, continuing onto Howard Springs to explore its WWII history and feed the local Barramundi, blending natural beauty with a touch of history in the Top End! Yes No Thursday Tour (Non-Playing Partner) Fee Price: Will Non-Playing Partner (Spouse) be likely to participate in the mini golf championship at Palmerston Golf Club on Wednesday?* Yes No Registration Finalisation & PaymentGolf Player's FeesGolf Spouse/Partner's FeesNon Playing Spouse/Partner's FeesExtras TotalTotal Amount Payable $ 0.00 Payment Method*Select a payment method Credit Card Direct (Bank Deposit) Processing Fee*1.9% Processing Fee Price: $ 0.00 Bank Deposit DetailsAccount name: NT Veteran Golfers AssociationBSB:633000Account number: 197335466Please leave your name as reference on the bank transfer. (Entry will only be processed upon receipt of full payment)Credit Card Payment Selected. Please submit the form and you will be forward to secure payment page. Credit CardVisa & Mastercard Only Consent*Please read the Privacy Policy and Terms & Conditions I have read and accept the Privacy Policy and Terms & Conditions
