Knights of Columbus Golf Tournament  ENTRY FORM
Present form with payment to any committee member or mail to:
Mel Mollendor, 7903 Shapra Rd., Cheyenne, Wyoming 82009.

ONE FORM PER TEAM  Tournament Fee: $65 (per player, no discounts)
Please fill out all information below to be pre-sponsored onto the F. E. Warren Golf Club.
Include all team tournament fees with Entry Form

Requested by the Warren Golf Course Administration, every player without Military ID must provide the following mandatory information.  Any team form blank in part will be returned to the team captain as an unregistered team.

Player 1:
(TEAM CAPTAIN)  NAME:_________________________  DATE OF BIRTH ____/____/___

DRIVERS LICENSE NO.______________________________  PHONE________________________

ADDRESS_____________________ CITY_________________ STATE______ ZIP CODE________

Military/Base Member ID Number _________________________  E Status____________

Player 2: NAME:________________________________________  DATE OF BIRTH ____/____/___

DRIVERS LICENSE NO.______________________________  PHONE________________________

ADDRESS_____________________ CITY_________________ STATE______ ZIP CODE________

Military/Base Member ID Number _________________________  E Status____________

Player 3: NAME:________________________________________  DATE OF BIRTH ____/____/___

DRIVERS LICENSE NO.______________________________  PHONE________________________

ADDRESS_____________________ CITY_________________ STATE______ ZIP CODE________

Military/Base Member ID Number _________________________  E Status____________

Player 4: NAME:________________________________________  DATE OF BIRTH ____/____/___

DRIVERS LICENSE NO.______________________________  PHONE________________________

ADDRESS_____________________ CITY_________________ STATE______ ZIP CODE________

Military/Base Member ID Number _________________________  E Status____________