KCLGA SENIORS CHAMPIONSHIP
age 50+  Handicap Plus to14 

Will take place at: Chart Hills Golf Club
Weeks Lane
Biddenden
TN27 8JX
01580 292222

Friday 31st August - Sunday 2nd September 2012
Entries close Tuesday 31st July 2012

Entry Fee £35.00
Fees include Lunch on the first day

This form must be sent to Mrs Dorothy Featherstone
Hon Competition Secretary
5 St Giles Close, Farnborough,
Kent, BR6 7DT
01689 858105
dorothyfeathers@aol.com

18 Holes Qualifying Round for the Senior Championship
Entry form

Surname-------------------------------------------------------------------- Title----------------

First name-----------------------------------------------------------------------------------------
 
**I do not wish to proceed to the matchplay competition

Address---------------------------------------------------------------------------------------------
 
Postcode------------------------------ Tel-------------------------------------------------------

Email-------------------------------------------------------------------------------------------------
 
H/C (as at 1st July 2012)----------------------------------- CDH No---------------------
 
Club---------------------------------------------------------------------------------------------------

 I enclose cheque for--------------------
 
Please make cheque payable to KCLGA, DATED 31st July 2012
I would like to receive my Start Sheet by email YES/NO
or I enclose a stamped addressed envelope for my Start Sheet

No refunds if cancellation is made within two weeks of the competition

The draw will take place immediately following the closing date.
Entries will be restricted to 22.
Higher handicaps may be balloted out

HANDICAP CERTIFICATES MUST BE PRODUCED.

Please advise any special dietary requirements

**Please put an X if applicable