Kulm Country Club
6680 79th St SE
Kulm ND
Kulm, ND
South Central Classic Registration
South Central Classic
(Formerly A.K.E.G.)
 Registration Form

Event Held June 11th & 12th 2011

Please fill out this form COMPLETELY. The fee is $300 per team. Limit of 36 teams. Registration deadline is 12:00 noon central time on Sunday, June 5th.

IMPORTANT:  The team captain must be 21 years of age or older and take full responsibility for any and all teammates who are under the age of 21.

Team Name:*

Golfer #1 (Team Captain)

First Name: *

Last Name: *

Address: *

City: *

State: *

ZIP Code: *

Phone: *

Email: *

Meal Location: *

Golfer #2

First Name: *

Last Name: *

Address: *

City: *

State: *

ZIP Code: *

Phone: *

Email:

Meal Location: *

Golfer #3

First Name: *

Last Name: *

Address: *

City: *

State: *

ZIP Code: *

Phone: *

Email:

Meal Location: *

Golfer #4

First Name: *

Last Name: *

Address: *

City: *

State: *

ZIP Code: *

Phone: *

Email:

Meal Location: *

By clicking the "Submit & Pick Tee Times" button below you are acknowleging that the team captain is 21 years of age or older and takes full responsibility for any and all of his/her teammates who are under the age of 21.