44th ANNUAL KNIGHTS OF COLUMBUS

INTERNATIONAL AMATEUR GOLF TOURNAMENT

June 10th thru 15th, 2012  ENTRY FORM

Read the information carefully before completing the entry form & type or print legibly

NAME:_______________________________________________________________

ADDRESS:________________________________________CITY________________

STATE:______ ZIP:___________COUNTRY:______________________

PHONE: (H)___________________________(OTHER)________________________

EMAIL ADDRESS:______________________________________________________

COUNCIL #:___________________MEMBERSHIP NO._______________________

Have you played in the tournament within the last five years?  Yes _____No _____

Last Year Played _______ Site Location__________________

____ CHECK HERE if you are a first time entrant or have not played in a K of C International Amateur Golf Tournament in the immediate five years (2007-2011).  Please check instruction #11 (on the information sheet) for Pre-Flight score information. HANDICAP_____________

CHECK HERE_____IF YOU WISH TO PLAY IN TUESDAY’S SCOTCH DOUBLES EVENT

CHECK HERE_____IF YOU WISH TO PLAY IN WEDNESDAY’S SCRAMBLE

Wife’s First Name: (if accompanying you):_________________________________________

Names of Children: (12 and under, if accompanying you):___________________________

______________________________________________________________________________

Names of Other Adult Guest and/or Children 13 and Over Who Will Be Attending Socials:

_______________________________________________________________________________

Will you need bus transportation to the Golf Course? Men: Yes__ No__  Ladies: Yes__ No__

Will your wife/lady guest be participating in the Ladies Scramble? Yes____ No ____

Ladies skill Level: Beginner (1-2 rounds a year) _____Intermediate (7-10 rounds a year)_______

Advanced (weekly/monthly player w/handicap) ______What is her handicap? _______________

Will you be playing practice rounds? Yes_____ No______ How many rounds? ______________