4 Person Scramble - $125 per player Lunch and Dinner included

TRANSITIONS CHILDREN’S SERVICES
MONDAY, OCT. 17, 2016
Belmont Country Club
8253 E. Belmont Ave.
Fresno, CA 93727
2nd Annual
FOR MORE INFORMATION OR TO REGISTER:
Transitions Children’s Services
(559) 222-5437
PRIZES
FUNDRAISER
1st Place Team
4 Person Scramble - $125 per player
$100 per player - if registered by Sept. 30th
Lunch and Dinner included
TOURNAMENT SCHEDULE
10:30 A.M. - Check in/Lunch
12 P.M. - Shotgun Start
5 P.M. - Dinner and Awards
2nd Place Team
Last Place Team
Closest to the Pin
Longest Drive
Net proceeds to benefit Transitions Children’s Services
PLAYER REGISTRATION
4-player scramble; We encourage you to form your own team, however teams not requred.
Name: _______________________________________________________
Name: _______________________________________________________
Address: _____________________________________________________
Address: _____________________________________________________
Phone: ____________________ Email: ___________________________
Phone: ____________________ Email: ___________________________
Name: _______________________________________________________
Name: _______________________________________________________
Address: _____________________________________________________
Address: _____________________________________________________
Phone: ____________________ Email: ___________________________
Phone: ____________________ Email: ___________________________
Check (payable to Transitions Children’s Services) o MC o VISA
Amount $ __________________________________+__________
Card No. _____________________________________________
Exp. Date: _______________CVV:_________________________
Name on card: ________________________________________
Signature: ____________________________________________
Facility #107206625
Send completed registration form to: Transitions Children’s Services, 1945 N. Helm Ave., Suite 101 , Fresno, CA 93727; (559) 222-5437