EmailMeForm
NEGA MOBILITY IMPAIRED SPECTATOR CART REQUEST
Name
First
Last
Email
Event and course which cart is being requested:
NOTE: Any cart request for a qualifying event will subsequently be considered for the corresponding Championship Proper, if applicable.
Event
Course
Date of event
MM
/
DD
/
YYYY
Do you have a valid, state-issued disability parking placard or card, or other state-issued proof of disability?
YES
NO
If "NO", please sign below stating the following: "I hereby certify that I am requesting use of a club-provided cart because I have a mobility disability that makes it necessary".
All requests are pending until approved by the NEGA and the host club -- based on their ability to accommodate said request.
By submitting this request, you are agreeing to release the NEGA, the host club and any related parties from any liability for injuries or other liabilities from your operation of the cart and to indemnify and hold them harmless from any claims by third parties arising out of your use of the cart.
*
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