Saturday June, 10th 2017
Registration Form: Please detach and send in completed portion of the form with payment. Sponsorships/Donations: Please check the appropriate box State Championship/ $500 Semi-State Championship/ $400 Regional Championship/ $300 Check AM or PM Flight Preference: 7:30 AM Registration with an 8:00 AM Shotgun Start 1:30 PM Registration with a 2:00 PM Shotgun Start
Sponsorship levels/Donations: Supporting needs such as Scholarships, Equipment, Uniforms, and Additional Resources
Team Captain Name or Business Name: Phone:
State Championship: •
Email: Please make checks payable to: • Tri-West Quarterback Club Please mail completed registration form and Payment to: Ed Perry 114 Stillmeadow Dr Lizton, IN 46149
$500 includes Semi-State Championship Level PLUS a half page black and white ad in the 2017 football program.
Semi-State Championship: •
$400 includes Regional Championship level PLUS one custom-made hole sponsorship sign for your business on one tee box.
Regional Championship: •
$300 includes a foursome entry ($75/golfer ~ 18 holes, cart, lunch/dinner, drink tickets)
Please contact Ed Perry 317-690-7818, email:
[email protected]