WAGA Membership Application | Western Amputee Golf Association

Please notify Ross Martin if you have a new e-mail or mailing address.

Please fill out our online form below and pay through PayPal. PayPal takes all major credit cards.
If you are paying by check, print a copy of your confirmation email and include it with your check.

Name(required)

Spouse Name

Company Name

Address(required)

Phone(required)

Email address(required)

Date of Birth

Disabled Veteran

Yes

Disabled Category(required)

Categories G1 through G15

Other Type of Disablilty

Handicap Index

Handicap Organization

Payment Method

PayPal

Check

Membership Type

Annual Dues - Regular Member

Non-amputee Associate Member

WAGA Lifetime Membership

When paying by check, print the email you receive and send with payment to the address found in the body of the mail. Thank you!

Are you human?(required)

This field should be left blank

Please wait...

After completing Registration Form, don’t forget to make the payment with the below Shopping Cart. Thank you!

Annual Dues WAGA Regular Member – $20.00

Non-amputee Associate Member – $20.00

WAGA Lifetime Membership – $150.00

Junior Membership (Under age of 18) – No Annual Dues

Shopping Cart