2016 13th Annual Miniature Golf Tournament Entry Form

Name:___________________________________________________________________________________________

Address:_________________________________________________________________________________________

City:________________________________________________________________Zip Code:__________________

Telephone: (_____) ________________________

COST: TBD
BEFORE FEB. 28 / ADULTS: $15
BEFORE FEB. 28 / KIDS (
10 years old and under): $10
BEFORE FEB. 28 / NON-GOLFERS LUNCH ONLY: $10

AFTER FEB. 28 / ADULT: $20
AFTER FEB. 28 / KIDS (10 years old and under): $15
AFTER FEB. 28 / NON-GOLFERS LUNCH ONLY: $10

Make checks payable to Rising Stars Program

Player Name / Address Telephone Kid / Adult Cost
       
       
       
       
       
       
       
       
 
Total Amount Paid $
 
 

Mail Form to:
Rising Stars Program
c/o Glenn Nakatani
P.O. Box 4235
Covina, CA 91723