Register to play in the golf marathon

Commitment Agreement | Medical Information & Waiver of Liability

Golfer's First Name

Last Name

Company

Address

City

State

Zip

Work Phone

Home Phone

   

Email

Password

Re-enter password

Password is required so that you may log into your golfer participant page
to view the list of your sponsors and your total amount raised.

Please choose you method of payment for Golf Marathon registration:

By clicking on the "Pay NOW online" button or the "I will mail in my check" button I agree that I have read the Commitment Agreement and Medical Information & Waiver of Liability below.

Pay now online! $100 ($1 per hole) We accept VISA and Mastercard

Mail in a Check for $100 ($1 per hole)


Please Make check payable to "World Impact"

World Impact, Inc.
Golf Marathon Registration
2001 S Vermont Ave
Los Angeles, CA 90007


**ALL GOLFERS:**

Before clicking please scroll down and read the Participant Commitment Agreement and Medical Information and Waiver of Liability.


[back to top]

Participant Commitment Agreement

Please read this commitment statement.


YES! I want to participate in the World Impact Los Angeles Golf Marathon. I believe I can reach the pledge goal of $25 per hole (or total $2500), and hereby commit to put forth the ultimate effort to do so.

YES! I understand that I am to have my sponsorship campaign in full swing within the first week after making my commitment.

YES! I have read the Medical Information & Waiver of Liability and fully agree to it's terms.

YES! I am sponsoring myself at $1.00 per hole ($100 registration fee) for this effort.


[back to top]

Medical Information & Waiver of Liability

I recognize that there is an element of risk in any outdoor sport or activity. Understanding the inherent risks, dangers, and rigors involved in the above-mentioned golf event, I certify that I am fully capable of participating in this golf event.

I hereby assume all risks involved in playing in the above-mentioned golf event. I and my heirs, successors, and assigns will hold the host organization, World Impact, Inc., and the management and owners of the host golf course harmless form any and all liabilities, action, causes of action, debts and claims resulting from the above-mentioned golf event.

 

[back to top]


If you have any questions about the event please contact Tim or Carl:

 

Tim Goddu
phone: (323) 735-3400 x301
Email: tgoddu@worldimpact.org

 

Carl LaBarbera
phone (562) 498-7766
Email: carl@ksdg.org

 

If you have questions about the website. Please email golf@worldimpactla.org