Team Captain *
Team Captain
Captain Phone *
Captain Phone
Captain Address *
Captain Address
Team Member #2 *
Team Member #2
Team Member #2 Phone
Team Member #2 Phone
Team Member #3 *
Team Member #3
Team Member #3 Phone
Team Member #3 Phone
Team Member #4 *
Team Member #4
Team Member #4 Phone
Team Member #4 Phone
Liabililty Waiver *
By checking the Liability Waiver box, I acknowledge that my participation in the Travis Burkhart Foundation Golf Scramble involves a risk of injury, including bodily injury, and agree to participate at my own risk. On my own behalf and on behalf of my legal representatives, I hereby release all liability or injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the Travis Burkhart Foundation. I acknowledge that my participation in the TBF Golf Scramble is voluntary and does not constitute as an obligation.
$280 for team of 4