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CART PARTNERS— 9-HOLE ENTRY FORM Individuals and teams of fewer than four may enter. They will be combined to create foursomes when possible. CELEBRATION DINNER GUESTS TURN THE TOWN PINK DONATION SPECIAL REQUESTS Please include the price of additional dinners and Turn the Town Pink ribbon donations with entry fee. CART 1 Captain Name Address City/State/ZIP Phone Email Are you a breast cancer survivor? Yes No I plan to attend the Celebration Dinner Yes No CART 2 Name Address City/State/ZIP Phone Email Are you a breast cancer survivor? Yes No I plan to attend the Celebration Dinner Yes No Additional Celebration Dinner Guests (Golf partcipants do not need to complete this section. Participant dinners are included in the entry fee. This is for additional guests only) Number of Additional Guests _______ x $50 = ___________ Guest Name Guest Name Guest Name Guest Name Turn the Town Pink Turn the Town Pink ribbon donation $ ______________ Special Requests (Requests will be honored as field allows) Preferred tee time: (check one) 9 am 1:30 pm Would you like to register a scorekeeper? No : The Foundation will assign a scorekeeper for you Yes: Name Address City/State/Zip Cell Phone Email CART 1 Name Address City/State/ZIP Phone Email Are you a breast cancer survivor? Yes No I plan to attend the Celebration Dinner Yes No CART 2 Name Address City/State/ZIP Phone Email Are you a breast cancer survivor? Yes No I plan to attend the Celebration Dinner Yes No Women’s 9-Hole Golf Tournament Fort Wayne Country Club 5221 Covington Road, Fort Wayne, Indiana 46804 Monday, June 4, 2018 Hurry to ensure your spot today! Register online at verabradley.org or complete the form below Tournament Schedule 7:30 - 8:30 am: Registration & Breakfast 8:00 am: Driving Range Open 9:00 am: Shotgun Start (Morning Tee Time) 12:00 pm - 1:00 pm: Registration & Lunch 12:00 pm: Driving Range Open 1:30 pm: Shotgun Start (Afternoon Tee Time) Evening Activities Sycamore Hills Golf Club 11836 Covington Road, Fort Wayne, Indiana 46814 5:00 pm: Silent Auction & Cocktail Reception followed by Celebration Dinner Make checks payable to the Vera Bradley Foundation for Breast Cancer. For the States Disclosure Statement visit www.verabradley.org/disclosure 2 5 years

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C A R T P A R T N E R S — 9 - H O L E E N T R Y F O R MIndividuals and teams of fewer than four may enter. They will be combined to create foursomes when possible.

CELEBRATION DINNER GUESTS • TURN THE TOWN PINK DONATION • SPECIAL REQUESTSPlease include the price of additional dinners and Turn the Town Pink ribbon donations with entry fee.

CART 1 Captain Name

Address

City/State/ZIP

Phone

Email

Are you a breast cancer survivor? ❑ Yes ❑ No

I plan to attend the Celebration Dinner ❑ Yes ❑ No

CART 2 Name

Address

City/State/ZIP

Phone

Email

Are you a breast cancer survivor? ❑ Yes ❑ No

I plan to attend the Celebration Dinner ❑ Yes ❑ No

Additional Celebration Dinner Guests (Golf partcipants do not need to complete this section. Participant dinners are included in the entry fee. This is for additional guests only)

Number of Additional Guests _______ x $50 = ___________

Guest Name

Guest Name

Guest Name

Guest Name

Turn the Town Pink

Turn the Town Pink ribbon donation $ ______________

Special Requests (Requests will be honored as field allows)

Preferred tee time: (check one) ❑ 9 am ❑ 1:30 pm

Would you like to register a scorekeeper?

❑ No : The Foundation will assign a scorekeeper for you

❑ Yes: Name

Address

City/State/Zip

Cell Phone

Email

CART 1 Name

Address

City/State/ZIP

Phone

Email

Are you a breast cancer survivor? ❑ Yes ❑ No

I plan to attend the Celebration Dinner ❑ Yes ❑ No

CART 2 Name

Address

City/State/ZIP

Phone

Email

Are you a breast cancer survivor? ❑ Yes ❑ No

I plan to attend the Celebration Dinner ❑ Yes ❑ No

Women’s 9-Hole Golf TournamentFort Wayne Country Club 5221 Covington Road, Fort Wayne, Indiana 46804

Monday, June 4, 2018Hurry to ensure your spot today!Register online at verabradley.org or complete the form below

Tournament Schedule7:30 - 8:30 am: Registration & Breakfast 8:00 am: Driving Range Open 9:00 am: Shotgun Start (Morning Tee Time)

12:00 pm - 1:00 pm: Registration & Lunch 12:00 pm: Driving Range Open 1:30 pm: Shotgun Start (Afternoon Tee Time)

Evening ActivitiesSycamore Hills Golf Club 11836 Covington Road, Fort Wayne, Indiana 46814 5:00 pm: Silent Auction & Cocktail Reception followed by Celebration Dinner

Make checks payable to the Vera Bradley Foundation for Breast Cancer. For the States Disclosure Statement visit www.verabradley.org/disclosure

25years

Entry Fee & RegistrationFee is $200 per entrant. Entry fee includes greens fee, continental breakfast or lunch, team photo, cart rental, practice tee, putting contest, snacks, Celebration Dinner and a Vera Bradley gift.

A rain date is not available. In the event of inclement weather, a phone hotline is established to announce alternate plans for the day.

Entry deadline is Friday, April 6, 2018 in order to play in the Vera Bradley Classic and receive a ticket to the Tuesday, April 10, 2018 Vera Bradley Annual Sale. Entry deadline is Friday, April 13, 2018 in order to play in the Classic only. The committee reserves the right to close registration prior to the deadline if the field is full.

Although individuals may enter, the committee cannot guarantee that all individual entries will be paired. It is recommended to enter as a team. Please notify tournament chairperson of any team member changes. Starting times and hole number will be confirmed via a letter sent at the end of May. For more information, please contact Jenny Vogt at (260) 402-7794 or [email protected] or Lesley Wright at (260) 403-6768 or [email protected].

FormatPlay format will be a modified Florida Scramble. Tournament play is open to women amateurs.

Field is limited to 30 morning teams and 30 afternoon teams.

Please wear appropriate golf attire (i.e., no denim, cutoffs, tank tops, etc.). Soft spikes are mandatory. If necessary, please have spikes changed prior to the day of the tournament (any golf course can replace spikes).

PrizesPrizes will be awarded to the first through fourth lowest team scores on both nines. Proximity awards will also be presented.

Celebration DinnerA cocktail reception, silent auction, dinner and awards program will be held at Sycamore Hills Golf Club on Monday, June 4 at 5 pm for all Classic participants.

The Classic pledges to raise spirits, hope, awareness and resources for the fight against breast cancer. Proceeds from the Classic support the Vera Bradley Foundation for Breast Cancer Research Laboratories at the Indiana University Melvin and Bren Simon Cancer Center. For more information, visit verabradley.org.

Hurry to ensure your spot today!

Register online at verabradley.orgor

Mail checks and COMPLETED form to:

Vera Bradley Classic

12420 Stonebridge Road

Roanoke, IN 46783

Make checks payable to

Vera Bradley Foundation for Breast Cancer

ENTRY DEADLINE: April 6, 2018 to participate in the Classic and shop at the Vera Bradley Annual Sale preview (Tuesday, April 10)

April 13, 2018 for the Classic only