2015 LPGA LOCAL PRE-QUALIFIER APPLICATION TOURNAMENT: Palmer Course, Wildfire Golf Club JW Marriott Desert Ridge Wednesday, February 4, 2015 Tee times begin at 9:00 AM * Day of Event – ALL applicants report to Wildfire Golf Club Pro Shop * Completed applications can be submitted via hard copy or email until the deadline. The Wildfire Golf Club golf staff will conduct the 18-hole stroke play competition to determine two (2) amateur qualifiers. These two (2) amateur qualifiers will receive an opportunity to play in the LPGA Local Qualifier on Monday, March, 16th, location TBD. MAIL: LPGA Founders Cup Attn: Taylor Adams 1450 E. Grant St. Phoenix, AZ 85034 EMAIL: Taylor.Adams@lpga.com ENTRY DEADLINE: Friday, January 23, 2015 (by 5:00pm local time) $50.00 cart and greens fees (fee to be paid to the Wildfire Golf Club Pro Shop, day of the event – no fees will be accepted ahead of time)  Amateur invitee (Handicap index of 2.0 or less) Name: ______________________________________________Telephone:____________________________________ Email Address: ____________________________________________________________________________________ Address:__________________________________________________________________________________________ City, State, and Zip Code: ____________________________________________________________________________ HANDICAP VERIFICATION (must be completed for all amateurs): *A Handicap Index of 2.0 or less must be verified by a club official, handicap chairman or by the club PGA/LPGA Golf Professional. Current USGA Handicap Index _______________ Verified by________________________________________________________________________________________ (Club Official’s Name and Title - Please Print) _________________________________________________________________________________________________ (Club Official’s Signature) Name of Club: _____________________________ Club Telephone Number: __________________________________ Page 1 of 1