Bonnie & Cliff Jernigan Memorial Golf Tournament Registration Form
                                     Entry Deadline 5 p.m. Monday, June 3, 2013

I am paying for   (    )  myself

                         (    )  team members

Cost is $65.00 per person.  List player information below.

I will not play     (    )     but I would like to make a donation.
(Those making donations are invited to the awards and heavy hors d’oeuvres following the
ournament at approximately 12:30 to 1:00 p.m.)

                                                 Player’s Information

1. Name:__________________________________________________________Hdcp. or Avg. Score:______________

Address:_______________________________________________________________________________________

Phone #____________________________________ E-Mail address:_______________________________________

2. Name:__________________________________________________________Hdcp. or Avg. Score:______________

Address:_______________________________________________________________________________________

Phone #_____________________________________ E-Mail address:______________________________________

3. Name:__________________________________________________________Hdcp. or Avg. Score:______________

Address:_______________________________________________________________________________________

Phone #_____________________________________ E-Mail address:______________________________________

4. Name:__________________________________________________________Hdcp. or Avg. Score:______________

Address:_______________________________________________________________________________________

Phone #______________________________________E-Mail address:______________________________________
 
Please make checks payable to:
Escambia Christian School 

Mail checks and entry form to:
  Ken Jernigan 

  231 E. Intendencia
  Pensacola, Fl 32502
1-Red Tee Buster, 1-Mulligan - $10 Men
     2-Mulligans - $10 Ladies
Mulligans may be used through the green.

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