INDIVIDUAL REGISTRATION FORM

The Deadline for advance tournament registration is October 12, 2020. Open to men and women. Early registration is encouraged.

NAME NAME * First Last
ADDRESS ADDRESS *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
HOME TELEPHONE HOME TELEPHONE * - ### - ### ####
MOBILE / WORK TELEPHONE MOBILE / WORK TELEPHONE - ### - ### ####
E-MAIL *
PREFERRED FOURSOME? *

PREFERRED FOURSOME? Yes No
If yes, please provide the names of the players.
IMPORTANT: Each player must fill out an Individual Registration Form. If yes, please provide the names of the players.
IMPORTANT: Each player must fill out an Individual Registration Form. First Last
First Last
First Last
WAIVER: I hereby, for myself, heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against Corpus Christi Catholic Church, the tournament director and their representatives for any and all injuries which may be suffered by me in connection with any participation in this tournament. *

WAIVER: I hereby, for myself, heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against Corpus Christi Catholic Church, the tournament director and their representatives for any and all injuries which may be suffered by me in connection with any participation in this tournament. By checking this box, I certify that I have read, verified and agreed with the above WAIVER.
ENTRANCE FEE: $90.00
Make check payment payable to Corpus Christi Catholic Church, and provide the payment to the representative or mail the check to the mailing address listed below. For further information, please contact Tom Jones, Director of Community Life, at the email address corpuslife@aol.com or telephone (803) 359-4391.
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MAILING ADDRESS
Corpus Christi Catholic Church
Attn: Tom Jones
2350 Augusta Hwy
Lexington, SC 29072 *

ENTRANCE FEE: $90.00
Make check payment payable to Corpus Christi Catholic Church, and provide the payment to the representative or mail the check to the mailing address listed below. For further information, please contact Tom Jones, Director of Community Life, at the email address corpuslife@aol.com or telephone (803) 359-4391.
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MAILING ADDRESS
Corpus Christi Catholic Church
Attn: Tom Jones
2350 Augusta Hwy
Lexington, SC 29072 By checking this box, I certify that I have read, verified and agreed with the above WAIVER.