1.Player Name

2.Email Address

3.Course Name

4.State

5.Your PGA Professional's name

*6.Verify you are a 2020 club champion at your facility (requirement for the 2021 PGA National Club Championship)(Required.)

Yes

7.Have you verified that your name is listed as a champion on pgaclubchamp.org?

Yes

No

8.Division you won at your club

Men's

Senior Men's

Women's

Senior Women's

9.Division you wish to compete in at PGA Club Championship (golfers 50+ may elect to compete in the Senior Division)

Men's

Senior Men's

Women's

Senior Women's

10.Why do you want to compete in the PGA National Club Championship?