The date for the tournament
08/22/2025

Tee off time (not registration time)
9:00 AM

Tournament Name
FOP Lodge 34

Point of Contact’s name
Rj Imbragulio

Point of Contact’s email address
imbragulio88@yahoo.com

Point of Contact Phone# (day of event)
(443) 623-2783

Golf Course name
Mountain Branch Golf Course

Golf Course address (hover over and select your state)
1827 Mountain Road
Joppa, MD
21085

Launcher to be used (East coast options)
1 AR 15 — (Par 5)

How many registered players do you expect?
121-144

Tournament Format
Shotgun start

This agreement is made on
06/19/2025

Business Address for all credit card donation proceeds to be mailed.
730 Wampler Road
Middle River, MD
21220
US

I understand I WILL HAVE to provide a golf cart for the representative for their use for the duration of the event. (insurance requirement)
YES, We will provide a cart.