maessr williamsburg golf classic - Mid Atlantic English Springer

REGISTRATION FORM
TEAM
CAPTAIN ________________________________
ADDRESS _______________________________
CITY ___________________________________
Third Annual
MAESSR Williamsburg
Golf Classic
October 3, 2015
MAESSR
WILLIAMSBURG
GOLF CLASSIC
STATE/ZIP ______________________________
E-MAIL _________________________________
MY FOURSOME
1- Name
____________________________
Phone ____________________________
2- Name
____________________________
Phone ____________________________
3- Name
____________________________
Phone ____________________________
4- Name
____________________________
Phone ____________________________
Directions to:
Kiskiack Golf Club
8104 Club Drive
Williamsburg, VA 23188
(757) 566-2200
www.kiskiackgc.com
From I-64 East or I-64 West
Take Exit 231B Croaker Road
(State Route 607 toward Croaker)
Turn right onto Club Drive
_____ Please assign me to a team
Check Amount Enclosed $___________________
Entries must be received by:
October 1, 2015
Make checks payable to:
MAESSR
c/o John Keegan
104 South Cove Court
Williamsburg, VA. 23188
Tournament Coordinators
John Keegan (757) 869-3049
Rick Larner (757) 250-3102
Sponsorship Coordinator
Beryl Keegan (757) 564-0825
October 3, 2015
Saturday
October 3, 2015
Score Points for
Springers
Everyone welcome!
Shotgun Start @ 9 AM

-ENTRY FEESIndividual $65

includes 12 raffle tickets and two
Mulligans. Limit of one per person.
Captains Choice
Mid-Atlantic English Springer
Spaniel Rescue (MAESSR) is a
volunteer-based 501(c)3 animal
welfare organization dedicated to
rescuing and re-homing English
Springer Spaniels through
rescue, rehabilitation, training, human education and
community outreach.
MAESSR has helped:
3,320 since it began in 1998
261 Springers in 2012
245 Springers in 2013
232 Springers in 2014
Special rates for Kiskiack members
Contact John Keegan
Buddy Packs $20.00 a piece,
Mulligans $5.00 each. Limit of
two per person

Raffle prizes
Teams $260

Goodie bag
Hole sponsorship — Gold Level $250
Hole sponsorship — Silver Level $200
Hole sponsorship — Bronze Level $150

Free range balls
SPECIAL OFFER!
Hole sponsor plus team — $375
Single golfers are welcome!
Check should be made payable to:
MAESSR
c/o John Keegan
104 South Cove Ct.
Williamsburg, VA 23188
Entry fee includes Green Fees, Cart, Practice Balls,
All-American cookout lunch and allows
participants to vie for many prizes.
Golfers are required to wear proper golf attire.
On-line Registration Available
http://www.maessr.org/specialevents.aspx