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Shootout and Million Dollar Shot Coverage Terms

This agreement obligates Golf Planner Pro LLC doing business as Perfect Golf Event (PGE) to indemnify the Client, for whose exclusive benefit this agreement is made, up to the specified maximum Prize Value if any hole in one occurs on the Date(s), Hole(s) and Tournament as specified in accordance with the USGA Rules of Golf. PGE’s payment obligation is conditioned upon full compliance with the following terms and conditions.

BEFORE THE TOURNAMENT:

1. In order to book coverage, PGE must receive full payment prior to the event date.

2. The Client must provide all needed information, such as the hole number where the shootout will take place.

3. PGE will email a coverage confirmation based upon the information submitted by the Client. The coverage confirmation will supersede any prior agreements or representations, and contain the full agreement of all parties.

4. Any changes in the hole number, hole distance, number of attempts, prize value, etc., require notification to PGE two business days prior to the tournament date. Once the change has been accepted by PGE, the Client will receive a revised coverage confirmation.

a. If the requested change increases the cost, PGE will email an invoice that needs to be paid upon receipt by the Client.

b. If the requested change decreases the cost, PGE will submit a refund the business day after the tournament date.

c. A change requested within two business days of the tournament date may incur a $50 coverage amendment fee. A change requested after the start of an event will not be allowed.

DURING AND AFTER THE TOURNAMENT:

1. GOLF COURSE SPECIFICATIONS - The Insured Hole-In-One contest must take place on the green of a regulation hole at a regulation golf course. No green of a Designated Hole may be specially prepared or altered from the condition which is usual for normal play on such hole nor shall the cup be positioned on the green outside of where it is normally positioned in order to facilitate a Hole-In-One. All equipment and the hole/cup must adhere to USGA or PGA specifications.

2. YARDAGE REQUIREMENTS - For any shootout or million dollar shot attempt, the minimum distance must be 165 yards or greater for men and 150 yards or greater for women, unless prior approval is given by PGE. The Client may choose a higher distance for the insured Contest. The distance is measured from the teeing area to the flagstick.

3. REGISTERED PARTICIPANT AND NUMBER OF ATTEMPTS - This Insurance will not cover a contestant who is a current or former professional golfer or a current or former NCAA Intercollegiate Golfer that has played in a NCAA Intercollegiate Golf tournament within the past five (5) years, unless prior approved by Underwriters. All participants must be a registered participant in the insured tournament. No practice attempts or mulligans are allowed at any time at the Designated Hole on the day of the event. A participant is not allowed to take more than one (1) shootout or million dollar shot attempt. The number of total attempts cannot exceed the listed number on the coverage confirmation.

4. QUALIFICATION PROCESS - It is understood that a qualification process may take place in order to determine which registered participant(s) will attempt the Shootout or Million Dollar Shot attempt(s). It is further understood that the Shootout or Million Dollar Shot attempt(s) may be held after the primary event on a hole used during the event. This does not constitute a practice shot as long as a new teeing area is used.

5. MULTIPLE WINNERS - This Insurance will cover a maximum of three (3) payouts per contest for prize values $250,000 or less. If a prize is greater than $250,000, a maximum of one (1) payout will be allowed.

6. WITNESS/VIDEOTAPE REQUIREMENTS - A third party witness must be at least 18 years of age and cannot be a participant in the insured tournament.

  • Greater than $9,000 and up to $50,000, one (1) third party witness must be stationed at the green or tee box of the Designated Hole to witness all attempts.
  • Greater than $50,000 up to $125,000, two (2) third party witnesses must be stationed at the green or tee box of the Designated Hole to witness all attempts.
  • Greater than $125,000 up to $1,000,000, three (3) third-party witnesses must be stationed at the green or tee box of the Designated Hole to witness all attempts AND all attempts must be videotaped in full with such video providing a raw, unedited video record of each participants complete path of the ball.

7. IN THE EVENT OF A HOLE IN ONE - The Client must contact PGE within the next business day. The Client must provide Underwriters with the following information as proof of claim:

  • An affidavit from the potential winning contestant attesting to his/her eligibility and compliance with the Official Rules;
  • A copy of the potential winning contestant's drivers license;
  • An affidavit from the designated witnesses attesting to the circumstances of the hole-in- one;
  • An affidavit from a representative of the Assured attesting to compliance with the terms and conditions of this Insurance;
  • A copy of the Videotape of the insured attempt for all prizes over $125,000;
  • A copy of the list of the names of the participants in the Shootout;
  • A letter from an official representative from the golf course (eg: the Pro at the golf course) on letterhead attesting to the successful hole in one, the course name, the distance of the hole, the hole number, the total number of attempts, the prize value, the name of winner, confirmation that such winner was officially registered for the tournament, confirmation of status (amateur or pro) for the potential winner, and confirmation that the winner did not take a mulligan nor other activity outside of the rules of this Insurance and the rules of golf.

EVENT CANCELLATION OR POSTPONEMENT:

1. If your event is cancelled or postponed, PGE must be notified by the business day after the original scheduled date.

a. If the event is postponed due to inclement weather or other circumstances and no attempts have been taken at an insured prize, PGE will move the coverage to the new event date at no additional charge.

b. If the event is cancelled and no attempts have been taken at an insured prize, PGE will refund the full premium cost minus a $100 cancellation fee.

Date Signed: November 1, 2025

First Client's Name
First Name*
Last Name*
First Client's Age Acknowledgment*
First Client's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
First Client's Signature*
Second Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Second Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Third Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Third Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Fourth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Fourth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Fifth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Fifth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Sixth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Sixth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Seventh Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Seventh Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Eighth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Eighth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Ninth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Ninth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Tenth Client's Name
First Name*
Last Name*
Client's Date of Birth*
Date of Birth
Tenth Client's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Parent or Guardian's Email Address
Email*
Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Event Name *
Golf Course *
Golf Course Location (City and State Only) *
Event Date *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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