Click here for a printable Microsoft Word file of this registration form.

2nd Annual Golf Tournament
When: Thursday May 13th, 2004 at 8am (Registration). 8:30am (Tee Time).
Where: Fairways of Halfmoon, Johnson Rd, Mechanicville.
Format: 18 Hole Scramble.
Cost: $100 per person (4 player team).
Includes: Round of golf, cart for 2, lunch, dinner buffet, raffles and door prizes.

                                                Player 1: _________________________________

Player 2: _________________________________

Player 3: _________________________________

Player 4: _________________________________

Hole in One Truck Donated by Team Goewey Dodge.

Door Prizes and Much More!

SPONSORSHIP HOLES & TEES = $100/hole $100/tee

Name: _______________________________________

Address: ______________________________________

City: ____________________State:____Zip:________

Tel#: (____________) ____________-______________

Contact Name: _________________________________

Please make all checks payable to:
NYSSCA
Attn: Gail Riley
244 Fonda Road
Waterford, NY 12188

For more information, call Nick Ronca at 518-371-5655 or Gail Riley at 518-237-6350 (home) or (518) 220-9700 (work).