Team Registration: $300

To download the Registration form as a PDF, click here.

Player 1 (Captain) Name *

First

Last

Player 1 Phone *

Player 1 Email *

Player 2 Name

First

Last

Player 2 Phone

Player 2 Email

Player 3 Name

First

Last

Player 3 Phone

Player 3 Email

Player 4 Name

First

Last

Player 4 Phone

Player 4 Email

Name

Gilliland Foundation
P. O. Box 1600
Mocksville, NC 27028
336.287.7775

The Gilliland Foundation is a not-for-profit organization corporation under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make under IRC Section 170.