20th Annual Lakeshore Scramble – Lakeshore Excellence Foundation

Your First & Last Name *

Your Email Address *

Your Phone Number *

Choose one:I am registering a team and purchasing a sponsorship package.I am registering for the scramble.I am not registering to play in the scramble.

Please choose your sponsorship package.Par $750 (includes 2 golfers)Birdie $1200 (includes 4 golfers)Eagle $2500 (includes 8 golfers)

How many players are you registering today?One PlayerTwo PlayersThree PlayersFour Players

PLEASE LIST YOUR TEAM PLAYERS:

PLAYER #1 (First & Last Name)

Email Address

Phone Number

PLAYER #2 (First & Last Name)

Email Address

Phone Number

PLAYER #3 (First & Last Name)

Email Address

Phone Number

PLAYER #4 (First & Last Name)

Email Address

Phone Number

PLAYER #5 (First & Last Name)

Email Address

Phone Number

PLAYER #6 (First & Last Name)

Email Address

Phone Number

PLAYER #7 (First & Last Name)

Email Address

Phone Number

PLAYER #8 (First & Last Name)

Email Address

Phone Number

NOTICE:

*All players must conform to Harbor Shores dress code: A shirt with a collar for men and women must be worn as well as spikeless golf shoes. Each player must also have their own set of clubs.

*Hole Sponsors please email a digital file of your logo to Julia Pechtel at jpechtel@sbcglobal.net

Additional Support Opportunities:

I would like to be a BASIC HOLE SPONSOR. (Includes Hole Sponsor Sign and Banner Ad - Golf Cart GPS.)YES ($250.00)NO

Gift Certificates or Other Items

I would like to donate gift certificates or other items to be used for prizes and/or raffles.I will not be donating gift certificates or other items today.

What are you donating?

What is this donation valued at?

Contact Person (First & Last Name)

Name/Business Name

Street Address

Apartment, suite, etc

City

State

ZIP

Email Address

Phone Number

Value Package(s)

$40 Value Package includes: 2 Mulligans and 8 Raffle Tickets (a $50 value)

One Value Package - $40.00Two Value Packages - $80.00Three Value Packages - $120.00Four Value Packages - $160.00I do not want to purchase a Value Package.

Please supply first and last name of EACH player that is to receive a Value Package.

TOTAL

Register for the 20th Annual Lakeshore Scramble

Register & Pay Online

Additional Support Opportunities:

Gift Certificates or Other Items

Value Package(s)