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Captain's Charity Online Entry
Captain's Charity Golf Day
Sunday 7th August 2022
Raising funds and awareness for the University Hospitals of North Midlands NHS Trust.
Team of 4, open to men and/or ladies in any combination
Please return this completed form with the fee of £100 per team of four to:
The Secretary’s Office, Brocton Hall Golf Club, Sawpit Lane, Brocton, Stafford ST17 0TH (Marked “Charity Golf Day”).
Please make cheques payable to Brocton Hall Golf Club.
Banking details: Brocton Hall Golf Club. Account number 01187961 Sort code 01-08-32 Please use surname & ‘Captain’s Day’ as reference
ENTRY FEE £100.00 per team of four
Team prizes, Individual Prizes, Prize Holes, Raffles and Auction
- 2 scores to count on all holes except on Par 3’s where all 4 scores count
- No Handicap Limit
- 90% Handicap Allowance
All players must have a WHS competition handicap and provide their CDH number on entry
Numbers are limited – we advise booking early to avoid disappointment
Player 1 Name
Player 1 Home Club
Player 1 WHS Handicap
Player 1 CDH Number
Player 2 Name
Player 2 Home Club
Player 2 WHS Handicap
Player 2 CDH Number
Player 3 Name
Player 3 Home Club
Player 3 WHS Handicap
Player 3 CDH Number
Player 4 Name
Player 4 Home Club
Player 4 WHS Handicap
Player 4 CDH Number
Contact name and address
Contact mobile
Contact email
Start times from 8:00am to 2:00pm Please indicate morning or afternoon preference (tick)
AM
PM
A 2-course meal will be available from 12:30pm at an additional cost of £18 per meal.
Please indicate your food choices and quantities. Vegetarian option on request
Meals must be pre booked but are paid for on the day
8oz Rump Steak with chips and peas and grilled tomato
Fish and chips with minty mushy peas
Sticky Toffee Pudding and Butterscotch sauce
Vanilla Crème Brulé
Total payable to Brocton Hall Golf Club on entry £100
Banking details: Brocton Hall Golf Club. Account number 01187961 Sort code 01-08-32 Please use surname & ‘Captain’s Day’ as reference
Notes:
Confirm