106.9 Kiss-FM Tavern Charity Golf Tourney
~To Benefit ESA (Exceptional Stars Atheltics)~

Sunday, June 27th at Maplehurst Country Club
9:00 A.M. Shotgun Start




  • Have a member of your team complete the online form below.
  • Each tavern can enter as many teams as they wish, but the entry limit is 36 total teams!
  • All participants must be at least 21 years of age to attend!
  • Your team will not have a spot in the tournament until the entire team fee is paid in full.
  • Registration deadlines is Monday, June 21st.



  • A team fee of $240.00 must be paid in full no later than Monday, June 21st. 
  • Payments of $60.00 per person can be made by each team member individually or the entire team fee of $240.00 can be paid by one person.
  • The Tavern owner is not responsible to pay the fee - unless they would like to.
  • Money Orders or Checks made payable to "Media One Group - WKZA", can be mailed to P.O. Box 1139, Jamestown, New York 14702, dropped off at our broadcast headquarters between 9am-5pm weekday's at 2 Orchard Road, Jamestown, NY 14701. 
  • You can also pay online with PayPal or Credit/Debit Card below.


Who are you paying for?
Who is your Team Captain?



All prizes will be awarded at the 19th Hole Awards Party, including Tee Sponsor Prizes, at 3:00 P.M..  (You must be present to win!) Your team will compete for: 

  • 1st Place Team Overall
  • 2nd Place Team Overall
  • 3rd Place Team Overall
  • 1st Place Women’s Team
  • 1st Place Mixed Team



  • Tee off is at 9:00 a.m. with a Shotgun Start.  Your entire team must be ready at this time.  You may enjoy coffee and donuts as you register (BEFORE 9AM) at the Registration Station near the Pro Shop.
  • Each golfer must sign a simple waiver of liability and agreement of courtesy to participate in the tournament.
  • Golfers will receive hot dogs and snacks at the Snack Shack on the course.  Course policy is ONLY COOLERS THE SIZE OF A 6-PACK ARE ALLOWED!  
  • The 19th Hole Party follows your found of golf with food available and other opportunities to help raise funds for Chautauqua Watershed. Prizes will be announced at 3:00 P.M.
  • This Tavern Tournament has had a great reputation for 21 years - PLEASE keep it that way!  Any unprofessional conduct at our event may result in your immediate removal from the property, without a refund.  



Specific questions should be directed to Jamie Trussler by calling 716-450-7785 or you can email Jamie.

*All fields are required.


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