2017 Player Form .pdf

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32nd Annual Jim Valvano Kids Klassic
July 7 – 8, 2017
710 W. Main Street, Suite 200
Durham, NC 27701
Phone (919) 385-3138 Fax (919) 385-3145
GOLF PARTICIPANT
Name:___________________________________________________Preferred Name/Nickname:_____________________________
Business Title:_________________________________ Company:______________________________________________________
Business Phone:________________________________ Business Fax:___________________________________________________
Cell Phone:____________________________________Other Phone(pager, etc.)__________________________________________
E-Mail Address:_____________________________________________________________________________________________
Preferred Mailing Address:_____________________________________________________________________________________
City/State/Zip:______________________________________________________________________________________________
Playing as Guest of:___________________________________________________________Company(if applicable)
Spouse/Guest (First & Last Name (for name tag)):_____________________________________________________

I WILL ATTEND THE FRIDAY EVENING DINNER ______YES

______NO

** Please contact our office if your plans change and you are not able to attend the Friday dinner **
MY DINNER GUEST WILL BE _________________________________________________________

ACCOMMODATIONS
If a hotel room Friday night is included as part of your sponsor’s participation, please indicate
here whether you will require a room. Additional nights can be booked at the attendee’s expense.
Your room arrangements will be coordinated by the JVKK Sponsor Contact Glenn Holzapfel (919-385-3138)
No, Hotel Room Not Needed _____

Yes, Room Needed Friday _____

I also need a room for ____________Night(s).

If a room is not included in your sponsor’s participation, or you are an individual player,
the Washington Duke Inn is offering a special rate of $119 to all JVKK participants.
CALL THE WASHINGTON DUKE INN AT 919-490-0999 AND ASK FOR RESERVATIONS TO BOOK YOUR ROOM.
** RESERVATION DEADLINE - JUNE 16, 2017 **

GOLF INFORMATION

M

Golf Handicap (very important): _______________
Shirt Size (please circle one):

Small

Medium

Large

X-Large

Pairings Request: _____________________________________________
Please remember this is only a request. We will try our best to fill all requests.

XX-Large


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