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PLAYER REGISTRATION

Registration must be paid in full by August 23, 2019.
Check-In At 8:00AM
Shotgun Start at 10:00AM

Individual or Team

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Do you know what team you would like to join? *

Yes
No, please put me on a team

If yes, please specify your team name

Team Name *

Team Captain *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Player #2 Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Player #3 Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Player #4 Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Total

$ 0.00

Or Will You Be A:

Silver Sponsor - $1000
Gold Sponsor - $3000
Platinum Sponsor - $5000

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