4th Annual

         Autism Awareness Golf Tournament

            To Benefit Children with Autism in the Hudson Valley

 Casperkill

    Golf Club

    * July 21, 2008 *

                                      2320 South Road (Route 9 North) * Poughkeepsie, NY 12601*

Official Entry Form

Cost: $150.00 per Player (Must be received by July 14^th, 2008)

This Includes; Greens Fee, Cart Rental, Range Balls, Continental Breakfast, Soft Drinks Cocktail Hour & Buffet Lunch To Follow at Best Western!

* Check in 7:30am; 8:00am Shotgun Start *

     *Not a Golfer?  Join us at 2:00 pm for Lunch and Festivities $60 per Person*

Great Golf! , Prizes, Contests and Plenty of Fun! All for Great Cause!

Four Person Scramble Format - Everyone is Welcome!

For Course Information Please Visit: www.casperkillgolf.com

(Proper Attire Required) Singles, Pairs, Threesomes and Walk-ons Welcome!

	Name	Phone	Email
Captain
Player 1
Player 2
Player 3

   Make Checks Payable to ADS, Inc.

                            Please Visit Us At WWW.HVPOAC.ORG

 Please direct all questions to;               Send Completed Forms To:

Steve Boffoli at 845-297-9004    POAC-HV C/O

or email Steve@HVPOAC.ORG 4 Dillon Court

Wappingers Falls, N.Y. 12590