2012 Miniature Golf Tournament Entry Form

Name:___________________________________________________________________________________________

Address:_________________________________________________________________________________________

City:________________________________________________________________Zip Code:__________________

Telephone: (_____) ________________________

COST:
PRESALE/KIDS: $10
AT THE DOOR: $15

Lunch only: $7

Make checks payable to Rising Stars Program

Player Name / Address Telephone Age Cost
       
       
       
       
       
       
       
 
Total Amount Paid $
 
 

Mail Form to:
Rising Stars Program
c/o Glenn Nakatani
P.O. Box 4235
Covina, CA 91723