G. O. L. F. Symposium and Golf Outing, June 27-28, 2004

Registration Form

Please print this form, complete the necessary information, and mail with check (made payable to Mount Holyoke College) to: Mount Holyoke College, Department of Physical Education, Kendall Hall, South Hadley, MA 01075. Each participant must complete a separate registration form.

Name: ____________________________________________________

Address: ____________________________________________________________

Telephone: ________________ Email: ______________________________

Please check one:

___ Symposium only - June 27th, 7:45am-5pm ($60)

___ Golf Outing only - June 28th, 8am shotgun start ($65)

___ Symposium and Golf Outing ($125)

For the golf outing, you may sign up as a single player (fill in #1 below), or if you have 1-3 other golfers you wish to play with, please list all players here. You do not need a handicap to participate.

Player #1_________________________________________________________

(Your Name)

Golf Handicap: ______

Player #2_________________________________________________________

Name, Phone number, Email address

Golf Handicap: ______

Player #3_________________________________________________________

Name, Phone number, Email address

Golf Handicap: ______

Player #4_________________________________________________________

Name, Phone number, Email address

Golf Handicap: ______