Tags: address city state, city state zip, city web, fax email, foursome, handicap, phone number fax, playboy scramble, player one, registration form, state zip code, team captain, tournament registration, web page, xl, zip code phone,
PLAYBOY GOLF/PLAYBOY SCRAMBLE
USA - LOCAL TOURNAMENT REGISTRATION FORM
INFORMATION FOR LOCATION, DATE AND PRICING IS AVAILABLE AT "YOUR CITY" WEB PAGE AT WWW.PLAYBOYGOLF.COM
EVENT LOCATION: DATE:
COST PER PLAYER (USD): $ COST PER FOURSOME (USD): $
TEAM CAPTAIN (PLAYER ONE) HANDICAP: ____________ SHIRT SIZE (circle): / M / L / XL / XXL /
LAST NAME: __________________________________________________________ FIRST NAME: _______________________________________
ADDRESS: ______________________________________________ CITY: _______________________ STATE: ______ ZIP CODE: _____________
PHONE NUMBER: ____________________________ FAX: _________________________ EMAIL: ________________________________________
PLAYER TWO HANDICAP: ____________ SHIRT SIZE (circle): / M / L / XL / XXL /
LAST NAME: __________________________________________________________ FIRST NAME: _______________________________________
ADDRESS: ______________________________________________ CITY: _______________________ STATE: ______ ZIP CODE: _____________
PHONE NUMBER: ____________________________ FAX: _________________________ EMAIL: ________________________________________
PLAYER THREE HANDICAP: ____________ SHIRT SIZE (circle): / M / L / XL / XXL /
LAST NAME: __________________________________________________________ FIRST NAME: _______________________________________
ADDRESS: ______________________________________________ CITY: _______________________ STATE: ______ ZIP CODE: _____________
PHONE NUMBER: ____________________________ FAX: _________________________ EMAIL: ________________________________________
PLAYER FOUR HANDICAP: ____________ SHIRT SIZE (circle): / M / L / XL / XXL /
LAST NAME: __________________________________________________________ FIRST NAME: _______________________________________
ADDRESS: ______________________________________________ CITY: _______________________ STATE: ______ ZIP CODE: _____________
PHONE NUMBER: ____________________________ FAX: _________________________ EMAIL: ________________________________________
PAYMENT (PAYMENTS BY CHECK CONTACT (973) 287-6288)
CHECK(S) PAYABLE TO PLAYBOY GOLF/ID, LLC CHECK NUMBER(S): ______________________________
CREDIT CARD (PLEASE CIRCLE ONE): AMEX MASTERCARD VISA
ACCOUNT NUMBER: _______________________________________________ EXP. DATE: _____________
NAME ON CARD: __________________________________________________________________________
CREDIT CARD BILLING ADDRESS IS THE SAME AS TEAM CAPTAIN'S ABOVE, OR:
BILLING ADDRESS: ________________________________________________________________________
CITY: __________________________________________ STATE: ___________ ZIP CODE: ______________
Total amount to be charged $ _______________
YOU'RE CREDIT CARD STATEMENT WILL READ SUMMIT INTL. Please do not dispute the charges. The
Playboy Scramble is not a charity golf outing and not tax deductible as a charity event. By submitting this
registration for you and/or your team, you agree that the fee is non-refundable and agree to the Terms &
Conditions as stated on page 2 of this form and in the legal notice section of www.playboygolf.com.
Signature must accompany this form.
PLEASE SIGN HERE - AUTHORIZED SIGNATURE: ________________________________________________________________________
PLEASE MAIL PAYMENT AND FORM OR FAX THIS FORM TO: For more info, go to: www.playboygolf.com
MAIL TO: PLAYBOY GOLF REGISTRATION
759 BLOOMFIELD AVE., #387
CALDWELL, NJ 07006
FAX: (973) 629-1107
PHONE: (973) 287-6288
© 2006 Playboy. PLAYBOY, PLAYBOY GOLF, PLAYBOY SCRAMBLE, RABBIT HEAD DESIGN and G(RABBIT HEAD DESIGN)LF
1
11/28/2006 are trademarks of Playboy and are used under license by ID, LLC an official licensee of Playboy.
TERMS AND CONDITIONS
Responsibility: The Playboy Scramble, produced by Playboy Golf/I.D. LLC ("Producer") - and official licensee of
Playboy (PEI), has selected highly qualified tour operators; golf courses, vendors (collectively "Suppliers") to organize
and administer the local Playboy Scramble tournament ("Event"). The designated Suppliers in turn, provide there own
aspect of the program providing goods and or services such as transportation, hotel accommodations, golf activities,
etc in connection with this Event. The Suppliers are solely responsible and liable for providing their respective
services. Passenger tickets in use by the participants of this Event shall constitute the sole contract between the
carriers and the passenger; the carriers are not responsible for any act, omission, or event during the time tour
participants are not aboard their conveyances.
Liability: Producer and its designated shall not be held liable for (A) any damage to, or loss of, property or injury to, or
death of, persons occasioned directly or indirectly by an act or omission of any Supplier, and (B) any loss or damage
due to delay, cancellation, or disruption in any manner caused by the laws, regulations, acts or failures to act,
demands, orders, or interpositions of any government or any subdivision or agent, thereof, or by acts of God, strikes,
fire, flood, war, rebellion, terrorism, insurrection, sickness, quarantine, epidemics, theft, or any other cause(s) beyond
Producers control. The participant waives any claim against the Producer and/or its designated Supplier for any such
loss, damage, injury, or death. Producer shall not be liable for any air carrier's cancellation penalty incurred by the
purchase of a nonrefundable ticket to or from the participant's departure city. Baggage and personal effects are at all
times the sole responsibility of the participant.
Basis of Rates: The rates are based on current tariffs and are subject to change due to unforeseen circumstances.
While we will do everything possible to maintain the listed prices, if it is necessary to levy a surcharge we reserve the
right to do so, and notification will be given at the time of final invoicing.
Event Price Includes: All entrance fees; services of Producer staff; Access to casting calls (where applicable), VIP
Pre Party, one (1) round of golf including greens fees and cart rental; and any taxes and service charges as indicated
in the itinerary.
Not Included: Hotel, Air transportation and related fees (except as indicated in itinerary); airport transfer ground
transportation; baggage/accident/cancellation insurance; personal expenses, such as laundry, telephone calls, meals,
alcoholic beverages; and any other items not specifically noted as included.
Cancellations and Refunds: Producer reserves the right to cancel the Event because of inadequate enrollment that
makes the event economically unfeasible to operate. In such a case, a full refund of the Event cost will be made. An
Event may be rescheduled at the sole discretion of the Producer and its Suppliers due to acts of God, strikes, fire,
flood, war, rebellion, terrorism, insurrection, sickness, quarantine, epidemics, theft, or any other cause(s) beyond
Producers control. Producer will have no liability for rescheduled airline tickets or hotel due to an Event being
cancelled or rescheduled. Leaving an Event in progress, for any reason whatsoever, will not result in a refund, and no
refunds will be made for any unused portions of the Event. Trip cancellation insurance is strongly recommended and
advised. Once you or your team decides to register, all registrations are final and payment is due upon registration.
Please make sure that you are able to attend or have someone substitute for you or your team if you cannot attend.
There are no refunds once you submit your registration.
Decline Admission: Tournament, Playboy Golf Casting calls and Parties. Producer at its sole option, reserves the
right to decline admission to or remove any attendee or guest(s) from the Events it deems to have a negative impact
upon Events, Playboy, sponsor(s), attendees or guest(s).
Itinerary Changes: The itineraries presented in this Event are subject to modification and change by the Producer or
its designated Supplier. Every reasonable effort will be made to operate programs as planned, but alterations may still
occur after final itineraries are sent. Finals itineraries will be faxed or emailed upon request.
Health Requirements: By registering for the Playboy Scramble, the participant certifies that he/she does not have
any mental, physical, or other condition or disability that would create a hazard for him/herself or other participants.
Any physical condition requiring special attention must be reported in writing when the reservation is made. Producer
and its designated Suppliers reserve the right to decline to accept any person as a participant of an Event or to
require any participant to withdraw from an Event anytime when such action is determined to be in the best interest of
the health, safety, and general welfare of the Event participants as a whole or the individual participant.
Payment: No Spots are held. Payment IN FULL is due upon registration and all registrations are FINAL. Submitting
your registration acknowledges you agree to the terms and conditions and understand that there are NO REFUNDS
except as referenced above in Cancellations and Refunds.
© 2006 Playboy. PLAYBOY, PLAYBOY GOLF, PLAYBOY SCRAMBLE, RABBIT HEAD DESIGN and G(RABBIT HEAD DESIGN)LF
2
11/28/2006 are trademarks of Playboy and are used under license by ID, LLC an official licensee of Playboy.