FINAL Golf Participation Form

STATESMEN CHARITY GOLF TOURNAMENT

Benefitting Marshall HS Boosters and Suicide Prevention

Monday, September 30, 2019

Westwood Country Club, Vienna, VA

11:30 a.m. Registration | 1 p.m. Shotgun Start

Registration Includes:

Individual Players will be placed in foursomes

PARTICIPATION OPTIONS

Golf Foursome - $600

Golf Twosome - $325

I am part of a Sponsored Foursome/Twosome

Golf Single Player - $175

Golf Single Player (Active Military or County Employee) - $125

CHARITABLE OPTIONS

Unable to Attend but would like to make a tax-deductible donation

In-Kind Sponsor - Donate item(s) for prizes, gift bag, or program production (please list)

FORM OF PAYMENT

CHECK ("GCM Boosters" To: Dianne Gurdak, 7731 Leesburg Pike, Falls Church, VA 22043)

SQUARE - Click "Pay Now" Button Below

Thanks for supporting the GCMHS Boosters