2005 KANSAS ELKS JR. GOLF TOURNAMENT

Friday July 22, 2005
Salina Elks Golf Course

Boy:_______Girl:_______ Date of Birth:

Please Circle you correct age as of July 1, 2205:     12-13    14-15    16-17

Name:_________________________________
Address:____________________________
City:_______________________________State:_________Zip:________
Telephone (area code)________________

 

Signature of Golfer__________________ Signature of Parent__________________

Entery Deadline July 15, 2005

Tee Time:   12:30 PM     Greens Fees: $10.00
Sack Lunch available prior to tournament / snack at turn

Mail to: Salina Elks Pro Shop
            1800 S. Marymount Rd.
            Salina, KS 67401
            Phone: 785-827-8585