Patriot Shootout Entry

First Name

Last Name

Email Address

Phone Number

Address 1

Address 2

City

State / Providence

Postal Code

Long-sleeve pullover shirt size:

I will be playing in honor of:

Why?

Your Handicap:

Branch:

Rank:

Brief Military Bio:

Caddie Name:

Partner Name:

Partner Handicap:

How many lodging rooms needed?

Check-in Date:

Check-out Date:

How many adults attending the Sept. 1st dinner?

How many kids attending the Sept. 1st dinner?

Photo of you

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