PREFERRED FOURSOME REGISTRATION FORM

Preferred Foursome Fee: $360.00
Goodie Bad donated by BIGBIE CHIROPRACTIC

IMPORTANT
1. EACH PLAYER MUST FILL OUT AN INDIVIDUAL REGISTRATION FORM.
2. IF LESS THAN FOURSOME, PLEASE FILL OUT THIS REGISTRATION FORM, AND YOU WILL BE ADDED TO A GROUP TO MAKE UP A FOURSOME.

PLAYER NO. 1
Name PLAYER NO. 1
Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
E-mail *
PLAYER NO. 2
Name PLAYER NO. 2
Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
PLAYER NO. 3
Name PLAYER NO. 3
Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
PLAYER NO. 4
Name PLAYER NO. 4
Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
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 per Individual Golfer OR Preferred Foursome at $360.00

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 per Individual Golfer OR Preferred Foursome at $360.00

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.