2010 Golf Registration Information

Firestone Country Club
North Course
Saturday, April 24, 2010
11:30 a.m. Lunch; 1:00 p.m. Tee-Off
Awards Dinner Follows

Come see Professional Long Ball Champion Mike Ziegler!

Please complete the form below to register as a foursome or individually to golf in the event. Once you complete the form you will invoiced for your registration fees.

Outing Cost: $250 per golfer or $1,000 per foursome. A minimum of $100 per golfer must be paid prior to the day of the event.
Registrations received after March 31 cannot be guaranteed placement.

Thank you for your support of Lake Center Christian School!

Name:

Company Name (If Applicable):

Email:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Home Phone Number:

Business Phone Number:

Golfer #1 Name: Handicap/Ave. Score #1:

Golfer #2 Name: Handicap/Ave. Score #2:

Golfer #3 Name: Handicap/Ave. Score #3:

Golfer #4 Name: Handicap/Ave. Score #4:

**Note**
If the golfers name is not known at this time
just leave the box blank and we will contact
you via email closer to the event to update the information.

If you would like to submit your information and have LCCS invoice you for your payment, please click below.

Thank you for participating in the 2010 Howard R. Miller Memorial Golf Outing!