* Note:
           – If you plan to play with someone, please confirm with that individual before submitting this form.
           – Please submit full payment with this registration form for all golfers listed above ($340.00 per team).

To guarantee play, all registration forms with full payment must be received by July 17.   If we exceed capacity, reservations will be held on a PAID IN FULL TEAM, first come, first fully paid basis.     SOFT SPIKES ARE MANDATORY!

No alcoholic beverages may be brought onto the course, but beverage carts will be available for your convenience.

Please get in touch with one of the following with questions or for corporate or personal tee/other sponsorships.

Dick Wicks – Class of 1972 – (515) 971-3132 – dwixadel@gmail.com
Derek Wilkerson – Class of 2006 – (515) 554-0032 – Wilkerson.derek@gmail.com
Jim Peters – Class of 1971 – (515) 988-8647 – petersadel@aol.com