REGISTER NOW!
To confirm your reservation, please complete both sides of this registration form and return by April 10, 2015, to:
28TH ANNUAL LHSA
GOLF
LHSA GOLF SCRAMBLE 5401 LUCAS AND HUNT, ST. LOUIS, MO 63121 For questions, contact Cheryl Ehrhard at LHSA at 314-833-2909, or cehrhard@lhsastl.org.
Scramble
Please provide your name and/or company name exactly as it is to appear in print. NAME
& AWARDS DINNER COMPANY
ADDRESS
Monday, April 27, 2015 Norwood Hills Country Club
CITY STATE ZIP
LHSA Scramble Honorees
PRIMARY PHONE EMAIL
PLAYER NAMES: PLAYER 1 PLAYER 2 PLAYER 3 PLAYER 4
PAYMENT INFORMATION: □ Check enclosed payable to LHSA □ Please bill my Credit Card (MasterCard, Visa, American Express or Discover)
□ Corporate
□ Personal
NAME ON CARD
BILLING STREET ADDRESS
Any special instructions? Add your notes here. BILLING CITY, STATE, ZIP
CREDIT CARD NUMBER
SIGNATURE
EXP. DATE
John & Marilyn (Kuhlmann) Brickler LHSS Class of 1962
5401 Lucas and Hunt Road Saint Louis, MO 63121
IF YES, SCHOOL AND YEAR:
detach & return
□ YES □ NO
"
ALUMNA/ALUMNAE?
lhsastl.org
Annual LHSA Golf Scramble & Awards
Dinner.
In addition to our traditional golf outing,
we are pleased to recognize two honored partners at the evening dinner. Even if
you aren't a golfer, you can provide your support for our schools and our special
honorees by sponsoring and attending the Golf Scramble Awards Dinner.
Your support of Lutheran High School
North and Lutheran High School South will provide opportunities for young people to be prepared for lives dedicated to Christ through academic excellence, Christian community and leadership in service.
This year's scramble proceeds will benefit the athletic programs at both schools.
2015 Honorees
Choose your sponsorship(s), registration and extras:
Each year, we honor one or more LHSA partners
Golf Sponsorships:
who have made significant contributions to the
□
Lutheran community. Our 2015 honorees are John & Marilyn (Kuhlmann) Brickler, LHSS Class of
1962, longtime supporters of Lutheran South, LHSA
□
and the Lutheran community, They have been active leaders for the Golf Scramble and LHSA Board of
□
Trustees. They have five sons—John, James, Peter, Andrew, and Matthew—graduates of LHSS. 11 AM
□
Golf Registration
Driving range & putting green open 12 PM
Lunch
1 PM
Shotgun Start
5 PM
Cocktails
6 PM
John & Marilyn Brickler Awards Dinner
Day of Golf includes: Locker room facilities Use of driving range & putting green Lunch Refreshments on the course Including our traditional "Margaritaville" Longest drive contests with prizes Closest to the pin contests with prizes
Please note: Per IRS regulations, the fair market value of goods and services received is $135 per player or $65 for the Awards Dinner only.
REGISTRATION
Mulligans and games on the course Greens Fees & Golf Cart per team Cocktails and Awards Dinner
detach & return
T
hank you for your interest in the 28th
THE SCHEDULE
"
THE EVENT
□ □ □ □ □
Dinner Sponsor: $3500 Includes two teams, golf, lunch, dinner, program recognition, banner, sponsorship signs and three mulligans per player. Lunch Sponsor: $2000 Includes one team, golf, lunch, dinner and sponsorship signs. Platinum Sponsor: $3000 Includes two teams, golf, lunch, dinner, banner, sponsorship signs, and three mulligans per player. Gold Sponsor: $2000 Includes one team, golf, lunch, dinner and sponsorship signs. Silver Sponsor: $1250 Includes two golfers, golf, lunch, dinner and sponsorship sign. Tee-Box Sponsor: $1500 Sponsorship/advertisement on 18 holes across the two courses. Margaritaville Sponsor: $500 Sponsorship sign at registration and Margarita booth Beverage Sponsor: $350 Sponsorship sign at registration and beverage stations. Hole Sponsor: $250
Unfortunately I cannot attend. Enclosed is my donation of $ _____________ in support of the Lutheran high schools: □ for athletics □ for the scholarship fund
Registration without Sponsorship:
□ □ □
Individual Golfer: $195 per player Includes golf, lunch, and awards dinner.
How many? ____
John & Marilyn Brickler Dinner Only: $75 Includes cocktails & dinner for 1. How many? ____ John & Marilyn Brickler Dinner Table for 10: $700 Includes cocktails & dinner for 10. How many tables? ____
Select your extras: Extras may be pre-purchased below or purchased at the Scramble.
□ □ □ □ □
How many? ____ Mulligans $10 each or 3/$25 (Limit 3 per player)
The Whole Nine Yards How many? ____ $40 package includes 3 Mulligans, Blackjack on the Course and Mega Putt. A $5 Savings!
Mega Putt $10 per player
How many? ____
Skins Game $40 per team
How many? ____
Blackjack on the Course $10 per player
TOTAL:
How many? ____
$ ________________________