DELAWARE VALLEY JUNIOR GOLF FOUNDATION
JACK SCHUBERT, SR. MEMORIAL GOLF TOURNAMENT

Registration Form

DATE: JUNE 3, 2007
PLACE: HORSHAM VALLEY GOLF CLUB
500 BABYLON RD.
AMBLER, PA 19002
215-646-4707
TIME: ARRIVE 7AM for 7:30 AM SHOTGUN START

ENTRY FEE: $85
includes greens fees with cart, scats and mulligans, donuts and coffee, drinks on the course, team placement prizes, closest to the pin, straightest drive, lunch and door prizes.


GOLFER #1
NAME:______________________________

ADDRESS:
    ______________________________

    ______________________________

PHONE: ____________________________

Amount paid $____  Handicap index:____

GOLFER #2
NAME:______________________________

ADDRESS:
    ______________________________

    ______________________________

PHONE: ____________________________

Amount paid $____  Handicap index:____

GOLFER #3
NAME:______________________________

ADDRESS:
    ______________________________

    ______________________________

PHONE: ____________________________

Amount paid $____  Handicap index:____

GOLFER #4
NAME:______________________________

ADDRESS:
    ______________________________

    ______________________________

PHONE: ____________________________

Amount paid $____  Handicap index:____


____We have a complete foursome     ____ I/We need to be paired with other golfers


Please submit form to:

Horsham Valley Golf Club
500 Babylon Road
Ambler, PA 19002