Member Registration Form

To register for this meeting please fill out the following information below.
* - Mandatory Field

Select # of Registrations

No.	Registration Schedule	Cost
	Member Registration	@ $500.00 per
	Guest / Spouse Registration	@ $400.00 per
	Children (Over 18) No charge for under 18	@ $50.00 per
	Golf Tournament	@ $150.00 per
	Golf Clubs	@ $85.00 per
	Rental Clubs are TaylorMade RSi Clubs

Company Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

Email: *

Your Name: *

Nickname for Badge:

Additional Registrations

Name:

Phone (if different than above):

Nickname for Badge:

E-mail:

Type:

Member Spouse / Guest Child

Name:

Phone (if different than above):

Nickname for Badge:

E-mail:

Type:

Member Spouse / Guest Child

Name:

Phone (if different than above):

Nickname for Badge:

E-mail:

Type:

Member Spouse / Guest Child

Name:

Phone (if different than above):

Nickname for Badge:

E-mail:

Type:

Member Spouse / Guest Child

Ken Adler Memorial Golf Tournament

Name	Handicap (required)	Club Rental
		Yes No
Right Left Mens Clubs Ladies Clubs
		Yes No
Right Left Mens Clubs Ladies Clubs
		Yes No
Right Left Mens Clubs Ladies Clubs
		Yes No
Right Left Mens Clubs Ladies Clubs
		Yes No
Right Left Mens Clubs Ladies Clubs

Are there any special needs or dietary restrictions for any of the above registered names? Please indicate below:

APDA 2022 Spring Convention

When:	Sunday May 22 to Wednesday May 25
Where:	Westin Dallas Stonebriar Golf Resort and Spa Dallas, TX Hotel Website Reservations: Book your group rate for APDA Meeting
Details:	APDA is going to have its Spring 2022 Convention May 22nd to 25th in Dallas, Texas. We will be staying at the Westin Dallas Stonebriar Golf Resort and Spa. The golf tournament will be on Tuesday, May 24th. More details to come, such as pricing, golf tournament information, etc. but be sure to save the date and get ready for a great meeting full of new and familiar faces!