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2. First Name*
3. Last Name*
5. Email*
6. Phone
8. Address*
10. City
11. State
12. Zip Code*
14. Create Password*
15. Re-Enter Password*
17. Mobile Phone
18. Mobile Provider
    -- Select One --AlltelAT&TBoost MobileC Spire WirelessCellcomCricketMetroPCSNextel CommunicationsSprint PCST-MobileU.S. CellularVerizon WirelessVirgin MobileBell Mobility and Solo Mobile (Canada)Fido (Canada)Koodo Mobile (Canada)MTS (Canada)Presidents Choice (Canada)Rogers (Canada)Sasktel (Canada)Telus Mobility (Canada)Virgin Mobile (Canada)
20. Texting Active

    1. Yes
    2. No
21. Gender

    1. Female
    2. Male
23. Age Group
    -- Select One --Junior20s30s40s50s60 and Older
24. Players in Household
    -- Select One --1234 or More
26. Rounds Per Month
    -- Select One --12345 or More
27. Birth Month
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
29. Birth Day
    -- Select One --12345678910111213141516171819202122232425262728293031
30. Average Score
    -- Select One --Under 7070s80s90sAbove 100
32. Plan Tournaments

    1. Yes
    2. No
33. Play in Tournaments

    1. Yes
    2. No
35. Comments
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field