CHECK IN:   12:00 Noon  
                   SHOTGUN:  1:00 pm 
                   PLACE: Delaware Springs Golf Course - Burnet, TX
                   ENTRY FEE: $ 85.00 - Per Person/ Four Man Teams
                   PAYMENT DUE: October 12, 2018
                   PAYABLE TO: Camp Peniel

                  Send to: Brian Anderson - Camp Peniel

397 Peniel Path - Marble Falls, TX 78654

email - banderson@camppeniel.org

Name *
First Name
Last Name
Address *
Address Line 1
Address Line 2
Postal Code
Phone Number*
Email Address*
Team Members: Please list if you have a pre selected foursome. If not we will be glad to pair you up with a great team.
Play 1 Name
Player 2 Name
Player 3 Name
Player 4 Name
* Please have each team member fill out an entry form, entry not complete until payment has been received.
Select your level of sponsorship.
Credit Card Number: 1234-1234-1234-1234*
Expiration Date*
Charge Amount:*