Author: JBrooks

For additional
information or to
arrange pick up of this form Please call:
Deon clark
(336) 273-7930
Keva Brooks Napper
(336) 528-4224
Www.mybeautifulbutterflies.com
Crooked tree golf course
7665 Caber Road
Brown summit, nc
or Mail to
Post Office Box 164
Sedalia, North Carolina 27342
no later than
April 22, 2012

George W. Brooks Ministries and Beautiful Butterflies are 501(c)3 organizations focused on rebuilding our community.

Ministries and Beautiful Butterflies are 501(c)3 organizations focused on rebuilding our community.

George W. Brooks Ministries and Beautiful Butterflies are 501(c)3 organizaGeorge W. Brooks Ministries and Beautiful Butterflies are 501(c)3 organizations focused on rebuilding our community.
tions focused on rebuilding our community.

For more information about George W. Brooks Ministries please contact: Belinda English: (336) 273-7930

A Lupus Foundation

AND

4th Annual
Golf Tournament
Crooked tree
golf course
May 2, 2015
7:30am Check in

MISSION:
The golf tournament is an event that will allow the mission of George W. Brooks Ministries and Beautiful Butterflies to continue to support individuals with lupus, their families, friends and caregivers; and provide scholarships to individuals pursuing careers at the higher educational level.
CAPTAIN’S CHOICE
Morning flight Schedule
7:30 A.M. Registration
8:00 A.M. Welcome
8:15 A.M. Tournament Rules
8:30 A.M. Morning Flight Begins
12:30 P.M. Lunch (included )
End of Day Awards Ceremony
Awards
Hole in One Contest
RAFFLES

George W. Brooks Ministries Tax ID 20-3857767 Beautiful Butterflies Incorporated
Tax ID: 27-4593181
Both organizations are 501(c)3 tax exempt non-profit organizations

George W. Brooks Ministries and Beautiful Butterflies Inc., Assumption of Risk and Release Indemnity Agreement
In consideration of being allowed to participate in the George W. Brooks Ministries and Beautiful Butterflies Inc, Golf Tournament, I acknowledge and agree as follows:
I know that participating or volunteering in a golf tournament can be a potentially hazardous activity. Some of the risks I may encounter include but are not limited to: falls; contact with other participants; the effects of the weather including heat stroke, heat exhaustion, or dehydration; getting lost or separated. I agree to assume all inherent risks and all other risks including those not specifically mentioned above. I understand that I am responsible for insuring that I am medically able and properly trained to participate in the golf tournament or volunteer but also agree to abide by any decision of a golf tournament official relative to my ability to safely complete the course.
I, for myself and anyone entitled to act on my behalf, waive and release George W. Brooks Ministries / Beautiful Butterflies Inc. and it subsidiaries and affiliates and all sponsors, agents, employees, officers, directors, and volunteers working on our behalf from all claims and liabilities of any kind, arising out of or related to my participation in the golf tournament and any other activities connected to the golf tournament including any claims arising out of negligence. This release includes and prohibits all types of claims including those for breach of contract, injury, loss, damage or death.
I understand that event photographs and/or video images will be taken on the day of the tournament. I freely give my permission for use of such photographs and video images in future events and promotions without further communication or compensation. I also agree that any dispute or suit I have will be resolved using the laws of the State of North Carolina. Any mediation, suit or other proceeding must be filed or entered into only in North Carolina. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions.
Signature of participant
___________________________________________________
Date
___________________________________________________

Tournament Registration form
Individual Player $75
Team of Four $300
IF YOU REGISTER 2 PAYING TEAMS, YOUR TEAM IS FREE!!
Please List all Team Members
Morning Flight 7:30AM
Team Name or Company Sponsor
__________________________________________________________
Player 1
__________________________________________________________
Street Adress_____________________________________________
City/state/zip____________________________________________
Telephone ________________________________________________
E-mail____________________________________________________
Player 2
__________________________________________________________
Street Address____________________________________________
City/state/zip____________________________________________
Telephone ________________________________________________
E-mail____________________________________________________
Player 3
__________________________________________________________
Street Address____________________________________________
City/state/zip____________________________________________
Telephone ________________________________________________
E-mail____________________________________________________
Player 4
__________________________________________________________
Street Address____________________________________________
City/state/zip____________________________________________
Telephone ________________________________________________
E-mail____________________________________________________