Team Registration Form- Captain's Choice format, $400 per Team, Includes Gift Bags, Beverage Cart and Dinner

Registration cut off September 10th, 5:00pm

Player 1_______________________

Player 2_______________________

Player 3_______________________

Player 4_______________________

CAPTAIN CONTACT INFORMATION

Address _________________________________________

Phone # _________________________________________

Email _________________________________________

Make Checks Payable to Special Olympics South Carolina, 1276 Assembly Street Columbia, SC 29201 OR to pay by Credit Card call Angela at (803) 404- 5520

For a local contact in the Charleston area or for Sponsorship Opportunities call Emmett Saxon at 843-200-0939 or Email at emmett.saxon@safelite.com