54 hole scratch medal play format. Cut to low 42 players and ties after 18 holes.

Senior Division (Age 50 and Up)

54 hole scratch medal play format. Cut to low 21 players and ties after 18 holes.

(no refunds after September 15)

SENIOR DIVISION? (circle one) YES NO

High School player? (Check if yes) ____

Name: _________________________________________________

Address: _______________________________________________

City: ______________________

Zip Code: _____________

Home Course: ____________________________

Verifiable USGA Index:_____________________

Home Phone: _____________________________

E-Mail __________________________________

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

GKGA Tournament Director 6200 Abbey St. Kalamazoo Michigan 49048