2012 Big Celebrity Golf Tournament – Registration

THE 7TH ANNUAL KEVIN DERRYBERRY BIG CELEBRITY GOLF TOURNAMENT
THURSDAY, APRIL 12TH 2012 - TIMBERLINE GOLF CLUB CALERA, AL

Please fill in the information below to register for the tournament and help support Kevin Derryberry Ministries. If you would like to only sponsor a hole, fill out the information for player 1.

Alternatively, you can click on the brochure to the right to download the application in PDF format and mail your registration along with payment.

Player 2

Player 2 Name:

Player 2 Handicap:

Player 2 Address:

Player 2 Shirt Size:

Player 2 Phone:

Player 2 Email:

Super Ticket: - $25
Yes No

Player 3

Player 3 Name:

Player 3 Handicap:

Player 3 Address:

Player 3 Shirt Size:

Player 3 Phone:

Player 3 Email:

Super Ticket: - $25
Yes No

Player 4

Player 4 Name:

Player 4 Handicap:

Player 4 Address:

Player 4 Shirt Size:

Player 4 Phone:

Player 4 Email:

Super Ticket: - $25
Yes No

Super Ticket includes 2 Mulligans, 1 Power Drive, Door Prize and Million Dollar shoot out entry

Thursday April 12th 2012
Sign in 7:00 AM for morning flight
Sign in and Lunch for Afternoon Flight is 11:30 AM
Driving Range Open with Free Range Balls

Rules, Announcements & Shotgun Starts
7:45 AM & 1:00 PM
Lunch & Morning Round Awards 12:30 PM

PM Round Awards, Prizes & Auction
Immediately After Playing Finishes

Registration Must be in by April 1st to Assure Gift Bag.
Limited Spots Available, so Register Early!

Each participant will receive golf greens & cart fee, goodie bag, shirt, lunch by KFC and dinner by Full Moon BBQ.

AM Shotgun
PM Shotgun

Number of Players:
Single Player - $150
Two Players - $300
Three Players - $450
Foursome - $600
Not Playing

Hole Sponsor Yes No
* $200 if only sponsoring
* $150 if playing and sponsoring

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