Player Entry Form

Company Name:
First Name:	Last Name:
Address:
City:                        State:     Zip:
Phone:
Email:
Golf Shirt Size: SmallMediumLargeX-LargeXX-Large

Individual Stroke Play

You must have an established handicap of 30 or less from a USGA approved club or organization to be eligible for Individual Stroke Play. Held Friday at Suntree Country Club and Saturday at Rockledge Country Club. Soft spikes only at both clubs.

Handicap:    (Max 30)
USGA handicap as of 5/2/08

Home Club:      
Phone Number: 

In the best interest of the tournament, the committee reserves the right to adjust handicaps.

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Four-Man Scramble

A four-man team format open to players of all skill levels. You can form your own team or the committee will make pairings. To qualify for prizes, players must commit to two (2) days of play. Soft spikes only at both clubs.

Scoring Avg: 100+70-8081-9091-100
If you are forming your own foursome, please list names of other golfers:

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Entry Fees & Payment

Entry Deadline: May 2, 2008

Individual Player Fee - $250 (includes two days of golf, lunches, & Saturday awards ceremony)
Include Friday night dinner Gala for two (addtl $50)
Shoot Out - $20/person (to be held Thursday, May 15th)
Shoot Out Partner
Number of persons attending social events: Friday Night Dinner Gala:               Saturday Night Awards Ceremony:
I can't attend this year but I would like to make a contribution to Wuesthoff for Women's Breast Health Initiative. Contribution Amount:
Please make checks payable to: Wuesthoff Health System Foundation Mail Stop #18 P. O. Box 565002 Rockledge, FL 32956-5002 Phone: 321-637-2606 Fax 321-690-6621

© 2008 Wuesthoff Health System. All rights reserved.