11th Annual Dewey Burkhart Memorial Tournament Registration Form

11th Annual Dewey Burkhart Memorial Tournament Registration Form
Please provide each team member's information below:

Tournament Dates: October 3rd & 4th, 2026
Tournament Information:
- Each team consists of two players.
- The format of play is a shamble, both rounds.
- Scoring - best ball score.
- Entry is not confirmed until entry fees have been paid in full.
- Pre flighted: Championship, 1st, 2nd, and 3rd flights
- Senior Flight - both players must be 65 or older; verified handicaps will be used
- For more information, visit: deweyburkhartmem.org or email: deweyburkhartmemorial@gmail.com
Senior Flight Selection
Player #1

First NameLast Name
Player #1 Email
example@example.com
Player #1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Player #1 - GHIN Number or Club Contact
Player #2

First NameLast Name
Player #2 Email
example@example.com
Player #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Player #2 - GHIN Number or Club Contact
Should be Empty: