Day Kimball Healthcare
COVID-19 info and testing

DKH Golf Classic

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Event Participant

Name*:
Address1*:
Address2:
City*:
State/Province*:
Zip/postal code*:
Phone*:
Email*:

Additional Information

Player 1 Name & Handicap:
Player 2 Name & Handicap:
Player 3 Name & Handicap:
Player 4 Name & Handicap:

Is this player the captain? (if so, please include Address Information)

Event Fees

QuantityDescription
$150.00 - Individual Golfers