Vineyard Golf Course                Tee time: 9:00am

           16022 Hwy 250                          Format: 2-4 person teams

           Rising Sun, In 47040

Entry Fee: $200.00 per team or $50.00 per person. Includes all golf fees with cart, snacks, and drinks.

Drawing for door prizes at conclusion.

—————————————————-cut here and return bottom of form with entry and fee—————————————

Team Registration Form                                        Return by September 11, 2021

Payment must accompany registration

Entry Fee: $200 _____________

Name: ________________________     Phone: _____________

Address: ________________________________

Email: __________________________________

Players: 1_______________________________   2________________________________________

                   3_________________________________  4_____________________________

Make checks payable:  Be The One       c/o Mary Beth Osowski – 9667 Searcy Rdg.  

                                                                       Patriot, In 47038    812-594-2228