REGISTRATION FORM - Northern Lights YMCA

GLADSTONE GOLF COURSE
• FOUR PERSON SCRAMBLE
• NOON ((EST)) REGISTRATION & PICNIC LUNCH
• 1:00 p
pm SHOTGUN START
• 6:00 p
pm BUFFET
PROGRAM & PRIZES TO FOLLOW
ALL PROCEEDS PROUDLY SUPPORT YMCA ANNUAL CAMPAIGN
REGISTRATION FORM - 16th ANNUAL YMCA GOLF CLASSIC
Entry Fee: $90 per player
(Entry fee includes picnic lunch, 18 holes of golf, buffet dinner)
Team Name: ___________________________________ Contact Person:_________________________
Please form your own team; however, if requested, we will make every attempt to assign you teammates.
____________________________________________________________________________________________________________________________________________________________________
Player Name
Address
Phone
Email
____________________________________________________________________________________________________________________________________________________________________
Player Name
Address
Phone
Email
____________________________________________________________________________________________________________________________________________________________________
Player Name
Address
Phone
Email
____________________________________________________________________________________________________________________________________________________________________
Player Name
Address
Phone
Email
Please reserve__________players @ $90 each
Number of carts__________@ $25 each
Number of additional dinner tickets__________@ $15 each
Total entry fees, golf cart fees and additional dinner tickets enclosed $__________
Make your tax deductible checks payable to Northern Lights YMCA
P.O. Box 602, Escanaba, MI 49829 • (906) 789-0005 • Fax (906) 789-6330
Return this completed form and payment by July 27th, 2017
www.nlymca.com