2022 Golf Tournament Registration – Breckenridge, Texas

PLEASE FILL OUT THE FORM BELOW FOR PLAYER #1

Player #1 Name: *

First

Last

Phone # : *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email Address: *

Please select if your team would like to have the 8:30AM tee time or 1:30PM tee time *

AM
PM

AM / PM slots will be designated in first come first serve order - Please select your preference and we will do our best to accommodate your selection.

Please Select Payment Option: *

If your team is with a Corporate or "Hole" Package sponsor, your fee to play has been covered in the sponsorship. If not you will need to pay the $60.00 Individual Pay.

Sponsor Name: *

If you checked the "Sponsor Paid" box above, please tell us the name of the sponsor you are playing for.

Do you need a golf cart reserved? ( If yes, you will pay the club house the day of. )

Yes
No

Mulligans (max of 2) *

Raffle Tickets (Singles) $5.00 each

Please list the number of tickets you would like to purchase.

Raffle Tickets (5 Pack) $20.00 for 5 tickets

Please list the number of Raffle Ticket 5 packs you would like to purchase.

Ball Drop Tickets $5.00 each

Please list the number of ball drop tickets you would like to purchase.

Please check if you wish to donate winnings

If I win, please donate my prize money to the scholarship fund benefiting BISD Seniors.

PLEASE FILL OUT THE FORM BELOW FOR PLAYER #2

Player #2 Name: *