The 18th Annual Kenny Classic Registration Form

Please print this form, fill it out, and mail it with your payment to:

Tim Kenny, 5 Wildwood Lane, Wilbraham, MA 01095

PLEASE MAKE CHECKS PAYABLE TO:  THE KENNY CLASSIC

Please submit your registration by Friday, June 10, 2011.

EARLY BIRDIE SPECIAL - Fees are $100 per player if received by June 1,2011. 

Fees are $110 per player after June 1, 2011, so get your registration in early!

Name:________________________________________

Address:______________________________________

_____________________________________________

Telephone:______________  E-Mail:_______________

My Handicap (or 18-hole average)__________

NOTE: please list the handicaps of all members of your foursome if you are registering for your team (use space below).

I am ___ am not___ planning to be part of a set foursome.  If you are, please list your team below:

_______________________________________________________________________________________________________________________________________

____  I am unable to play this year, but here is my contribution to the Robert J Kenny Memorial Scholarship Fund at the Clara Barton Camp.

____ I want to be a KC Hole Sponsor! Enclosed is payment of $150.  Please use the enclosed logo and information/instructions.

____ I would like to bring a guest(s) to the Post-Classic Dinner Party.  Please enclose the names of each guest, and $25 for each guest.

THANK YOU!