Name _________________________________ Name ________________________________

Address _______________________________ Address ______________________________

________________________ Handicap ______ _______________________ Handicap ______

Name _________________________________ Name ________________________________

Address ________________________________ Address ______________________________

________________________ Handicap ______ _______________________ Handicap ______

Cost of carts is included in the registration fee. Number of carts to reserve: ______

Please return completed form with payment to:
Kinship of Rice Lake, PO Box 291, Rice Lake, WI 54868.
Email address: kinship@charter.net Phone: 715-234-1995

REGISTER YOUR TEAM NOW FOR THE 17TH ANNUAL KINSHIP GOLF PLAY DAY