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THE MACKEL THE METROPOLITAN AMATEUR GOLF CHAMPIONSHIP OF NEW ORLEANS Presented by Mandina’s Restaurant of Mandeville HONORING THE MEMORY OF FRANK MACKEL NOVEMBER 4 – 5, 2017 BEAU CHÊNE COUNTRY CLUB Saturday - Magnolia Course • Sunday - Oak Course MANDEVILLE, LOUISIANA ENTRY FORM Entry must arrive by 5:00pm, Saturday, October 28, or until full field is reached. Mail entry form to: JIMMY HEADRICK / THE MACKEL 108 Spartan Trace Boulevard Slidell, LA 70458 Enclose entry fee of $150.00 payable to The Mackel. Name ______________________________________________________________________________ (First) (Last) Address ____________________________________________________________________________ City_____________________________________________________________ ZIP ________________ Phone: (Office) _____________________(Home)____________________(Cell)___________________ Email Address: (legible!) ______________________________________________________________ Date of Birth: Month_____________________Day______________Year________________Age______ If you are 50 or above, will you participate in the Senior or Open Division? (Circle one) Please note that if you select the Open Field Division (for the overall championship) you will be playing from a longer distance set of tees and you will not be eligible to win the Senior Division. I personally certify that my USGA Handicap Index is _________________________________________ USGA Handicap Index of 10.0 or less for Men’s Open and Junior Boys. The Senior Division requirement is 14.0; the Super Senior Division is 18.0. Women and Junior Girls are 22.0. Home course affiliation ________________________________________________________________ Signature of applicant _________________________________________________________________