Golf Tournament - Entry Form

Name:

Partner’s Name:

Average Score for 18 Holes:

Average Score for 18 Holes:

Do you want to be teamed with your partner?

# of Players

x $45.00 per person = Total Amount Due of $

ENTRY FORMS AND FEES MUST BE RECEIVED BY MAY 1, 2012

Please print page and mail with your check payable to “Class of 1972 Reunion”.

Mail to:

LSHS Class of ‘72
P.O. Box 1972
Lee’s Summit, MO  64063

[Golf Entry]