GKGA 2010 Spring Medal

May 15-16 at the Moors

36 hole medal play

(Cut to low 42 scores and ties for Sunday)

ENTRY FEE of $65 Postmarked by May 7

Name: _______________________________________________

Address: _______________________________________________

City: ______________________

Zip Code: _____________

Home Phone/Cell: ______________________________

E-Mail __________________________________

Home Course: _____________________________

Verifiable USGA Index:______________________

HIGH SCHOOL STUDENT (circle one) yes / no

SENIOR DIVISION (circle one) yes / no

Mail completed form and check (payable - GKGA) to:

GKGA Tournament Director

6200 Abbey St.

Kalamazoo Michigan 49048