DATE:   Saturday October 29th, 2016
TIME:    Registration starts at noon 1:00 pm shotgun start
PLACE: Delaware Springs Golf Course - Burnet, TX
ENTRY FEE: $ 75.00 - Per Person
Please make checks payable to "Camp Peniel"
Payment Due October 20th, 2016

Send Check to : Brian Anderson - Camp Peniel
6716 East FM 1431 - Marble Falls, TX 78654

email -

Name *
First Name
Last Name
Address *
Address Line 1
Address Line 2
Postal Code
Phone Number*
Email Address*
Team Members: Please list if you have a pre selected foursome. If not we will be glad to pair you up with a great team.
Play 1 Name
Player 2 Name
Player 3 Name
Player 4 Name
* Please have each team member fill out an entry form, entry not complete until payment has been received.
Would you like to consider being a sponsor?
Credit Card Number: 1234-1234-1234-1234*
Expiration Date*
Charge Amount:*