4th Annual Golf Tournament 4th Annual Golf Tournament

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Maple Grove Boys and Girls High School Ice Hockey Locker Room Project

4th Annual Golf Tournament IN SUPPORT

of our capital campaign to fund the new locker rooms for the varsity and junior varsity programs. We ask that you join us at Medina Country Club for a SCRAMBLE, 1:00pm Shotgun start: June 20, 2011 – Monday Event Date and Time:

Contests:

June 20, 2011 – Monday Registration-12:00pm

• • • •

What’s Included: • • • • •

Special Prizes and Surprise Guests 18-holes of golf Golf Cart Range Balls Dinner

Longest Drive Longest Putt Closest to the Pin Hole-In-One

Schedule: • • •

12:00pm – Registration 1:00pm – Tee Off 6:00pm – Dinner

Hosts: Gary Stefano – Head Ice Hockey Coach, Maple Grove Boys (612) 865-0966 Rob Potter – Head Ice Hockey Coach, Maple Grove Girls 612-590-6750

Questions, Contact Coaches or Todd at: Todd Elmer RE: Maple Grove High School Locker Room Committee 12808 90th Place North, Maple Grove, MN 55369 Email: [email protected] • Phone: (612) 280-2838

Costs: $125/player(s) or $450/4-players $150/hole sponsorship $550/4-players and hole sponsorship $25/dinner only Donations are Tax Deductible

Medina Golf Club 400 Evergreen Road Hamel, MN 55340

763-478-6020

PLAYERS

PAYMENT INFORMATION

*Please PRINT first and last names

*Please PRINT

_________________________________________

_________________________________________ Full Name (on credit card)

_________________________________________ _________________________________________ _________________________________________

REGISTRATION *Please include number and total amount below _____ $125/Golf and Dinner

_________________________________________ Address 1 _________________________________________ Address 2 __________________________________ City

____ State

__________ Zip Code

_____ $450/4-players _____ $150/Hole Sponsorship

(_____)_____________________ ____ Phone Number Ext.

_________________________________________ Name/Company

_________________________________________ E-Mail

_____ $550/4-players and hole sponsorship

_________________________________________ Type (AmEx, MasterCard, or Visa)

_________________________________________ Name/Company _________________________________________ Credit Card Number _____ $25/Dinner Only _____ $/Donation (tax-exempt)

_________________________________________ Credit Card Expiration Date

TOTAL COST: $_______

Additional Information Registration Deadlines: • June 12 (by mail) • June 15 (by fax or phone) *NO registrations will be accepted after June 15, 2011!

_________________________________________ Security Code

REMIT PAYMENT ADDRESS: Todd Elmer RE: Maple Grove High School Locker Room Committee 12808 90th Place North, Maple Grove, MN 55369 Email: [email protected] Phone: (612) 280-2838