*All information is required

Please provide the following contact information:

Please identify and describe yourself:
 

Select all of the following entries that apply:

        Under 8 Tourney   Lanc Ladies Tourney    Charity Tourney   Charity Donation 
       $35.00                       $35.00                                $40.00                         $.00
                                                                                                                    (only donation)

*All entry fees above included greens fee and donation

ANY ENTRIES SUBMITTED AFTER JANUARY 27, 2012
WILL BE SUBJECT TO AN ADDITIONAL $15.00 LATE FEE

(see flyer for more info)

Charity Tournament is open to all amateurs over the age of 21; male or female
 

By submitting this form you represent and warrant that you have the right, authority, and capacity to enter into this agreement and to abide by all of the terms and conditions of this agreement and that you are at least 21-years old. That this event is for charity and amusement purposes and that no gambling is permitted. You agree to release the Lancaster County 8 Ball League and all sponsors from any and all liability.
 You consent to the use of your name and image in conjunction with your participation in this event.

Copyright © 2005
 Lancaster County 8 Ball League
 All rights reserved.
Revised: 12/30/11