Registration for the 2019 Southern Wisconsin Qualifier


Online registration does NOT include payment. After submitting your online registration, payment is due via one of the following two options:

1) send a check payable to Menomonee Falls Optimist Club to: Southern Wisconsin Optimist Qualifier c/o Tom Carls 3922 S. Lake Dr. St. Francis, WI 53235


or 2) pay by credit card at the following site:

Your registration will not be considered complete until payment is received.

Registration will open at 9:30 on the day of the event, with golfer beginning at 11AM. The format will be determined pending the number of players, but is likely to be tee times starting at 11AM. Registration fee includes lunch and awards. Notes: There is no rain date scheduled for this event if it is cancelled due to a weather related condition. Refunds of all or a portion of the entry fee may not be possible if this occurs. Every effort will be made to get the tournament in that day, even if a shortened event is necessary. There is no refund of entry fees due to a no-show the day of the event or cancellation after the registration cutoff date.

Qualifying Information:
A limited number of golfers in each division will advance to the international championships provided they shoot the minimum qualifying score.
If a golfer who lives outside of the District qualifies, his/her participation will not eliminate a District resident from qualifying. Optimist Districts and Clubs provide financial support for winners to attend the international championships. The amount of financial support provided and the age divisions covered varies by District. There is no guarantee that financial support will be provided to golfers who travel outside of their home District. Please check with the District Chair for details.

First Name *
Your answer
Last Name *
Your answer
Birthdate *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Parent's Name(s) *
Your answer
Home Phone *
Your answer
Parent Cell/ Work Phone *
Your answer
E-mail Address *
E-mail is the main method of communication. Please enter your e-mail address carefully.
Your answer
Age Division *
Division determined by golfer's age on (Boys 10-11, 12-13 and Girls 10-12 - July 20, 2019), (Boys 14-15 and Girls 13-14 - July 25, 2019) and (Boys 16-18 and Girls 15-18- July 31, 2019)
Player Certification *
By clicking "YES," I certify that I am an amateur player, according to the rules of the U.S. Golf Association, and that the information on this application is true to the best of my knowledge.
Parent Certification *
In consideration of the privilege of my child’s participation in the qualifying for the Optimist Championship, I herby release the sponsor from any and all liability resulting from any accidents that might occur while he/she is participating and recognize that pictures may be used by the sponsor. Segments of the "Optimist International Southern Wisconsin District Qualifier" will be photographed or videotaped , in consideration of your child’s participation in a junior golf tournament known as the "Optimist Junior Golf Program", hereby grant the Optimist Junior Golf Program the right to photograph and otherwise use in all media throughout the world my child’s performance in the Optimist Junior Golf Program and use my child’s name, likeness, voice and biographical information in connection therewith, except that Optimist Junior Golf shall not use my name as an endorsement of any product or service.
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