2026 Harvest Break Golf Tournament Registration

54th Annual Harvest Break Golf Tournament

Jamestown Country Club

Thursday, September 10, 2026

Check-in 8:00-9:00 A.M. | Tee off 9:30 A.M. | Appetizers, awards & prizes at 4:00 P.M.

Registration deadline: September 8. Registration is $130 per player.

Number of Players * You may register from one to four players on this form.

Name *

Handicap *

Company *

Team Captain First Name *

Team Captain Last Name *

Cell Phone *

Email *

Address *

City *

State *

ZIP Code *

Add the optional $20 Team MulliganThe $20 Team Mulligan goes toward the Educational Foundation.

Registration Total $130.00 1 player × $130.00

Card information will be entered directly in the secure Elavon Converge window. ANDA does not collect or store card numbers.