Any player under 18 years of age must have the WPGA Parental Consent Form filed before their application will be accepted. Parental consent forms can be found on the WPGA website in the appropriate tournament information or by contacting the Association office (412-826-2180).

The following should be printed, signed by the a parent or guardian and mailed or faxed to the WPGA at:

Western Pennsylvania Golf Association
324 Fourth St
Pittsburgh, PA 15238

FAX: 412-826-2183

As parent or guardian of ________________, I hereby certify that I am familiar with his/her plans to participate in WPGA championships and that he/she does so with my approval and consent for the following events (check applicable events):

Boys            ____

Junior          ____

Amateur         ____

Open            ____

Club Champions  ____

Fred Brand      ____

Brothers        ____

Four-Ball       ____

Public Links    ____

Womens Amateur  ____

If he/she wishes to play in events that are not checked on this form, an additional form will be required before his/her entry can be processed.

In case of medical emergency occurring during this Championship, I authorize a qualified medical doctor to take all necessary measures in the treatment of this applicant.

Relation: ______________________



Signature: _____________________

Entries are open to amateur golfers with a Handicap Index not exceeding 6.4 strokes as follows:

    A. Amateur golfers that are affiliated with a WPGA Member Club as of May 13, 2009.

    B. Amateur golfers residing in the Western Pennsylvania district as of April 1, 2009.

All entries and fee of $120.00 must reach the Western Pennsylvania Golf Association office by 5:00 P.M. E.D.T., on Wednesday, May 27, 2009, to be considered.

A.                          Online registration - Players may enter online at http://www.wpga.org. Players must have a valid e-mail address and a WPGA account to register online. Accounts can be created by contacting the WPGA at 412-826-2180 or by e-mailing tournamentinfo@wpga.org with name, address, and e-mail address included. The user name and password will be sent back to the player. Online entries may be paid by Visa, Mastercard, American Express, or Discover Card.

B.                          Entry from registration – Players may enter using this form. Send completed application and fee to the Western Pennsylvania Golf Association. Make check or money order payable to Western Pennsylvania Golf Association. Do not send cash.

The committee reserves the right to accept late entries. Late entries must use this form, and these entries will be placed on an alternates list to fill spots if they become available. A fee of $50.00 must accompany all late entries. No late entries will be accepted on or after the date of the first qualifier.

Entry fee will be refunded with a $15.00 service charge for withdrawals before the close of entries.  Withdrawals after the close of entries will be subject to a $25.00 service charge.  

EXEMPTIONS FROM PRELIMINARY QUALIFYING ROUNDS

1. West Penn Amateur Champions – 2004-2008
   Nathan Smith, William Miller, Scott Phillis, David Brown
   
2. West Penn Mid-Am Champions – 2005-2009
   TBD, Sean Knapp, Nathan Smith, Arnold Cutrell
3. Pennsylvania Amateur Champions – 2004-2008
   Mike Van Sickle, Adam Hofmann, Chad Bricker
4. Pennsylvania Mid-Amateur Champions – 2004-2008
   William Smith, Paul Schlachter, Sean Knapp
5. WPGA Junior Champions – 2008-2009
   TBD, Ryan Prokay
   
6. Tri-State Amateur Champion – 2009
   TBD
7. WPGA Senior Amateur Champion – 2007-2008
   Dave Denezza, Don Erickson, III
8. Jamison Cup Medalist – 2008
   Brad Usher
   
9. WPGA Spring Invitational winner – 2009
   TBD
10. WPGA Public Links Champion – 2008
    Ron Coleman
    
11. EDGA Amateur Stroke Play Champion – 2008
    Ellery Tarbell
    
12. Top ten and ties – 2008 West Penn Amateur
    Nathan Smith, Ronald DeNunzio, John Popeck, Jeffrey Varga, William Miller,
    Jon Pratkanis, David Brown, Nathan Sutherland, Sean Knapp, Sean Brannan
13. Top ten and ties – 2008 Pennsylvania Amateur
    Mike Van Sickle, Nathan Smith, Robert Rohanna, Adam Hofmann, Frank Fairman, Daniel Obremski
14. Top ten and ties – 2009 West Penn Mid-Amateur
    TBD
15. Low amateur in 2008 & 2009 West Penn Open, any amateur in top ten
    Nathan Smith, TBD
16. WPGA Honor Roll, including honorable mentions – 2008
    Nathan Smith, Mike Van Sickle, Sean Knapp, Robert Rohanna, David Brown,
    Frank Fairman, Jon Pratkanis, Nathan Sutherland, Arnold Cutrell, David DeNunzio,
    Artie Fink, Jr., Trent Karlik, Ronald DeNunzio, Brendan Borst, William Miller
17. Local/Sectional Qualifiers – 2009 USGA Open Championship and 2009 USGA APL Championship
    TBD
18. Match Play qualifiers – 2008 USGA Championships
    John Benson, Dave Denezza, Sean Knapp, Robert Rohanna, Nathan Smith
    
19. Frank Fuhrer III Collegiate Player of the Year – 2008-2009
    Robert Rohanna, Mike Van Sickle
20. Winners of Collegiate Stroke Play events that meet Championship Committee minimum requirements, details to be supplied by player.
21. Other exemptions at Championship Committee discretion.

18 holes of stroke play for qualifying rounds. 54 holes of stroke play for championship. The championship will be limited to 78 players. See schedule below.

SCHEDULE:

Preliminary Qualifying Rounds

1. June 09, 2009 – Hill Crest Country Club, Lower Burrell
2. June 10, 2009 – Lake Shore Country Club, Erie
3. June 15, 2009 - Youghiogheny Country Club, Elizabeth Township
4. June 18, 2009 - Ebensburg Country Club, Ebensburg

Championship

1. Monday, June 29 – 36 holes of stroke play.
2. Tuesday, June 30 – 18 holes of stroke play for the low 32 and ties, or anyone within seven strokes of the leader, after 36 holes.

By submission of this entry, I agree to the following:

• I have read and understand the entry requirements and championship regulations.
• I agree that there are certain risks inherent in golf and accept personal and sole liability for such risks including but not limited to health risks.
• This entry is subject to rejection at any time (including during the Championship) by the WPGA.  The reason may include unbecoming conduct.
• Responsibility for ensuring this application is received by the WPGA prior to the specified deadline is mine alone and that this application may be automatically rejected by the WPGA if received by after such date and time.
• Risk of delay or error in transmission is solely with me and that the WPGA has no liability with respect to any such delay or error and the consequences there from, including the entry not being accepted.
• Any player under 18 years of age must have the WPGA Parental Consent Form filed before their application will be accepted.  Parental consent forms can be found on the WPGA website in the appropriate tournament information or by contacting the Association office (412-826-2180).

A trophy will be awarded to the winning player. Prizes will be awarded to approximately the top 30% of the field starting the third round. Prizes will consist of credits in the host club’s golf shop.

1. Players must walk at both the qualifying and championship sites.

2. Players may bring their own caddies to any phase of the championship.
3. Players may carry their own bags during all phases of the championship.
4. It is a condition of competition that shoes with traditionally designed spikes, regardless of composition, or spikes comprised either entirely or partially of metal, regardless of design, are prohibited during the championship.
5. Play will be governed by The Rules of Golf, conditions stated on the WPGA Rules of Play card, and other Local Rules as posted.
6. Proper attire is mandatory in all phases of the championship. Shirts with collars and sleeves are required. Shorts of Bermuda length or longer are acceptable.
7. In the event of a tie for the last qualifying places in preliminary qualifying rounds, or a tie for first place at the championship, a hole-by-hole playoff will be conducted immediately after completion of the round.
8. Players failing to return scores within twelve (12) strokes of the USGA Course Rating at qualifying sites may have future entries declined, unless the contestant can document he is capable of competing at the championship level.
9. Players falsifying a Handicap Index may be subject to indefinite suspension from WPGA Championships.
10. Qualifying-round alternates have no status at the championship site until they are officially accepted into the starting field.
11. Starting times and other information for qualifying rounds and the championship will be available on the WPGA web site (http://www.wpga.org) approximately one week before qualifying rounds and the championship.  Players unable to retrieve starting times should call the WPGA office (412-826-2180).