South Shore Roller Derby Golf Outing

$400 per foursome. Checks can be made payable to "South Shore Roller Derby" and mailed to 108 Washington St, Valparaiso, IN 46383. 

If you'd like to pay via PayPal, there is a $10 processing fee. An invoice will be sent to the main contact email.

Registration and payment due by Saturday, June 26, 2023.

Price includes: Green & cart fee, lunch, 2 drink tickets

Information will be sent to the main contact email as well as any other player's email if provided.

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Team Name *
Main Contact Name *
Main Contact Phone Number *
Main Contact Email *
Player 1 Name
Player 1 Email
Player 2 Name
Player 2 Email
Player 3 Name

Player 3 Email
Player 4 Name
Player 4 Email
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