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Player's First Name:
Player's Last Name:
Street or Mailing Address:
City:
State:
Zip Code:
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What is your handicap index or
your average score:
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to be considered:
Event:

If you would like to register a guest for the banquet and course lunches, please give us their names:
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   Guest Name:

If there are players you would like to be grouped with on the first day, please give us their names:
   Player's Name:
   Player's Name:
   Player's Name:
Additional Comments: