CASH PRIZES FREE KFC LUNCH $400 per team, 4 person Scramble Saturday, April 9 – 8:00am Cookeville Golf Club For more info, call Teen Challenge of the Upper Cumberland at 888-‐688-‐0470, ext 103 or visit TeenChallengeUC.org REGISTRATION FORM First Name______________________________________ Last Name_______________________________ Street Address___________________________________________________________________________ City__________________________________________ ST___________ Zip_____________________ Phone ____________________________________ Email___________________________________________________________________________________ TEAM NAME_____________________________________________________________________________ Circle Polo Shirt Size Golfer 1:____________________________________________________________ S -‐ M -‐ L -‐ XL -‐ 2X -‐ 3X Golfer 2:____________________________________________________________ S -‐ M -‐ L -‐ XL -‐ 2X -‐ 3X Golfer 3:____________________________________________________________ S -‐ M -‐ L -‐ XL -‐ 2X -‐ 3X Golfer 4:____________________________________________________________ S -‐ M -‐ L -‐ XL -‐ 2X -‐ 3X Please make checks payable and mail with registration form to: Teen Challenge of the Upper Cumberland 760 Rickman Rd Livingston, TN 38570 phone: 888-‐688-‐0470 fax: 888-‐221-‐4764 Email: [email protected]
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