Thank you for your interest in the Bringing K Home Golf Tournament at Beaver Hills Golf Course on October

20th, 2012. Please complete the application below and send it along with the Team Entry Fee of $160.00 to the following address: Amanda Rhodes, 115 Englewood Ln. Danville, VA 24541 Space is limited to the first 18 4-Man Teams that have submitted their application and $160.00 Team Entry Fee. Please make checks payable to Amanda Rhodes or Reeces Rainbow with Rhodes Family in the notation blank. Checks made payable to Reeces Rainbow will generate a tax-deductible receipt.

Team Application
Player #1 Information
Name Street Address City ST ZIP Code Home Phone Cell Phone E-Mail Address

Player #2 Information
Name Street Address City ST ZIP Code Home Phone Cell Phone E-Mail Address

Player #3 Information
Name Street Address City ST ZIP Code Home Phone Cell Phone E-Mail Address

Player #4 Information
Name Street Address City ST ZIP Code Home Phone Cell Phone E-Mail Address