Fill in your event information to request a
Hole-in-One Contract for your golf tournament

Hole In One Insurance

Request Hole-In-One Insurance
with Hole-In-One U.S.A.















  • mm*

  • dd*

  • yyyy*

Multi-Day Tournament

  • mm

  • dd

  • yyyy








My Address AboveDirectly to the Golf Course

Additional Address

Hole-In-One Contest Details

Hole 1

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 2

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 3

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 4

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 5

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 6

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 7

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 8

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 9

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 10

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 11

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 12

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 13

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 14

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 15

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 16

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 17

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Hole 18

* Standard yardage is 165 men.
** Minimum yardage is 135 for men or women.

Main Prize


*Leave blank for standard prize ideas

Add Next Hole

  • Standard Package
  • Club Glove Package, iPad mini 2, $250 Golf Shop Gift Certificate

  • Titleist Package
  • Titleist AP1 716 Irons, Titleist 917 D2 Driver, Bushnell Rangefinder

  • Tech Package
  • iPad Air 2, iPad mini 2, Fire HD10

  • Pro Shop Package
  • $750, $500, $250 Pro Shop Gift Certificate

  • Premium Package ($50 Upgrade Fee)
  • 7 Day Caribbean Cruise for Two, Round Trip Airline Tickets for Two, Club Glove Package