Grand County Rural Health Network
10th Annual Play A Round For Health
 
Monday, August 6, 2012 - 8:30 am / Pole Creek Golf Club

Individual & Team Golf Tournament Registration & Payment Form

To register on-line click here.

For Sponsorship opportunities click here

Name of Player or Team________________________________________

Mailing Address _____________________________________________

Player # 1 _____________________________________________

Player # 2: _____________________________________________

Player # 3: _____________________________________________

Player #4: ______________________________________________

Paid by Check*________  (Mail with Registration Form)

Amount ____________
         
Or Pay by Credit Card
(Visa, MC or AMEX only) 

    
Tournament Fees: 

Early Bird (by June 30th) $135 per player or $540 per team -- entry form & fee MUST be received by June 30th!

Regular (after June 30th)$150 per player or $600 per team -- entry form must be received by July 27th.  You may pay the entry fee at that time or during registration the day of the tournament.

Contact Jen at 725-3477 for additional sponsorship information.

Return Registration Form to:

Grand County Rural Health Network

P.O. Box 95

Hot Sulphur Springs, CO 80451   

Or email player/team information to:  jfanning@co.grand.co.us

*Make checks payable to Grand County Rural Health Network