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 Tournament Registration
 


 

To register please complete the form below. 
Please mail your entry fee to the address below.  If you would like
to register by mail please print this page and mail registration form and check to

Speedway Children's Charities
Ginger Moats
P.O. Box 500
Hampton, GA 30228

Please make checks payable to Speedway Children's Charities.

 
Company Name

Player 1
Handicap or Average Score
Player 2
Handicap or Average Score
Player 3
Handicap or Average Score
Player 4
Handicap or Average Score

Contact Person
Email Address
Day Phone
Evening Phone
 
Address
City
Sponsorship Level
Click HERE to review sponsor levels.
Zip Code

 
 

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