106.9 Kiss-FM Tavern Charity Golf Tourney
~To Benefit ESA (Exceptional Stars Atheltics)~

Sunday, June 27th at Maplehurst Country Club
9:00 A.M. Shotgun Start

FOUR-PERSON TEAM SCRAMBLE

TO REGISTER:

• Have a member of your team complete the online form below.
• Each tavern can enter as many teams as they wish, but the entry limit is 36 total teams!
• All participants must be at least 21 years of age to attend!
• Your team will not have a spot in the tournament until the entire team fee is paid in full.
• Registration deadlines is Monday, June 21st.

PAYMENT:

• A team fee of $240.00 must be paid in full no later than Monday, June 21st. 
• Payments of $60.00 per person can be made by each team member individually or the entire team fee of $240.00 can be paid by one person.
• The Tavern owner is not responsible to pay the fee - unless they would like to.
• Money Orders or Checks made payable to "Media One Group - WKZA", can be mailed to P.O. Box 1139, Jamestown, New York 14702, dropped off at our broadcast headquarters between 9am-5pm weekday's at 2 Orchard Road, Jamestown, NY 14701. 
• You can also pay online with PayPal or Credit/Debit Card below.

Who are you paying for?

1 Player $60.00 USD2 Players $120.00 USD3 Players $180.00 USD4 Players $240.00 USD

Who is your Team Captain?

PRIZES:

All prizes will be awarded at the 19th Hole Awards Party, including Tee Sponsor Prizes, at 3:00 P.M..  (You must be present to win!) Your team will compete for: 

• 1st Place Team Overall
• 2nd Place Team Overall
• 3rd Place Team Overall
• 1st Place Women’s Team
• 1st Place Mixed Team

THE DAY OF GOLFING:

• Tee off is at 9:00 a.m. with a Shotgun Start.  Your entire team must be ready at this time.  You may enjoy coffee and donuts as you register (BEFORE 9AM) at the Registration Station near the Pro Shop.
• Each golfer must sign a simple waiver of liability and agreement of courtesy to participate in the tournament.
• Golfers will receive hot dogs and snacks at the Snack Shack on the course.  Course policy is ONLY COOLERS THE SIZE OF A 6-PACK ARE ALLOWED!  
• The 19th Hole Party follows your found of golf with food available and other opportunities to help raise funds for Chautauqua Watershed. Prizes will be announced at 3:00 P.M.
• This Tavern Tournament has had a great reputation for 21 years - PLEASE keep it that way!  Any unprofessional conduct at our event may result in your immediate removal from the property, without a refund.  
• ALL STATE AND LOCAL GOVERNMENT SOCIAL DISTANCING RULES MUST BE FOLLOWED!

QUESTIONS?

Specific questions should be directed to Jamie Trussler by calling 716-450-7785 or you can email Jamie.