Registration Form for Entry

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10th Annual ACH Charity Open Registration Form
Facebook @Charity Open Benefit for Arkansas Children’s Hospital


When: July 14th, 2018 (Saturday)

Where: Sage Meadows Country Club

4406 Clubhouse Drive

Jonesboro, AR  72401

Time: 8:00 a.m. Shotgun Start

7:00 a.m. Registration Opens

Format: 4 Person Scramble (First 25 Paid Teams)


Please join us for our 10th charity event for the Arkansas Children’s Hospital at the Sage Meadows Country Club.  We hope to break last year’s donation total but to do so we’ll need your help with the support and donations.


$65 per person includes: Green fee, Cart, Lunch, and team Prizes payment due when reservation is made.

$20 per person Super Ticket day of tournament includes:  one mulligan per player, entry for two longest drive, entry for two closest to the pin, 1 pickup put per team (shot on green) and, 1 tee off from lady’s tees for each player (Hole TBD). All team members must participate to get the team benefits for this!!!


Registration:   A separate registration form needs to be completed for each golfer. Please mail or drop off your registration forms at the Sage Meadows Country Club Pro Shop.


Name _______________________________________________

Address__________________________ City_____         __ State______    Zip_________

Phone _________________________          Email ________________________


Payment Information: Cost Per Person $65.00 per player               Foursome total:  $260.00

If playing within a foursome – please indicate your team player’s names here so that we can match everyone with completed payment.

Player 1 Name: ___________________________________________________________________

Player 2 Name: ___________________________________________________________________

Player 3 Name: ___________________________________________________________________

Player 4 Name: ___________________________________________________________________


___ Check ‐ please make payable to Arkansas Children’s Hospital.

___ Cash

Amount Enclosed $___________________