Return one copy of this form
to the Championship Director and one copy to the Executive Director by
September 10, 2005.
|
| Championship Director | Executive Director |
| Jeff Pulli William Smith College Winn-Seeley Gym Geneva, NY 14456 (315) 781-3500 (P) (315) 781-3503 (F) pulli@hws.edu |
Victoria Chun NYSWCAA 7248 Butternut Lane Hamilton, NY 13346 315-824-8911 (P) 315-824-8911 (F) vchun@nyswcaa.org |
| 1. |
Name of Member School
______________________________________
(Please Check only one) WILL _________ WILL NOT _______ compete in the 2005 NYSWCAA GOLF Championship. |
| 2. |
Our College or University would__________ would not__________ be interested in hosting future NYSWCAA GOLF Championships. |
| 3. | # of Player Participants (cannot exceed 7) _______ |
| 4. |
Entry Fee of $ 250.00 is due once you are selected to participate. A $100.00 fine will be imposed for late declarations. |
| 5. | Head Coach - Name
______________________________________ Head Coach - Phone Number ______________________________________ |
| 6. | Head Coach - Fax ______________________________________ |
| 7. | Head Coach - E-mail ____________________________________ |
|
SIGNATURE OF ATHLETIC DIRECTOR OR VOTING REPRESENTATIVE
______ Yes, I want to be notified if our team has been selected. My Phone number is ________________________ DATE: Championship Packets will be mailed, faxed or e-mailed to the coach at the participating institutions. |
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Last Updated: 08/16/05