Register
Team Name:



Player #1 Name:



Handicap: Size:

Player #2 Name:



Handicap: Size:

Player #3 Name:



Handicap: Size:

Player #4 Name:



Handicap: Size:

Prepare your Registration Form (PDF)

Registration is $80 per Player

Tournament format is 4-Player 18 Hole Scramble. You may download the registration form here (Microsoft Word) or complete the online PDF registration form to the left. It will automatically fill in the fields and allow you to print your registration form online.
Paying By Check?


Please make checks payable to:

Susan G. Komen for the Cure Central Florida Affiliate
Return By Mail
Return completed forms to:

Tournament Chairman
Jamie Daniel, M.D.
P.O. Box 243
Ocala, FL 34478
Phone: (352) 867-0215
Fax: (352) 840-0688

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