Golfer #1
Golfer Registration
Address:
4-person Scramble Format
Player Registration and lunch 11:00am
Shot Gun Start
12:00pm
Dinner and Awards approximately 5pm.
Additional on Course Contests available
for purchase include:
Men's and Ladies-Closest to the Pin
-Longest Drive
-Putting Contest
Hole-in-One Raffle
Qualifying participants will receive a
raffle ticket for a flat screen TV
50/50 Raffle
Proceeds to benefit the Rob Prior
Memorial Scholarship
ANY TEAM PAID IN FULL BY MAY
1ST WILL BE ENTERED INTO A
DRAWING TO RECEIVE A FULL
REFUND OF THEIR ENTRY FEE!
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Coeymans Fire Golf Outing
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Name:
Email:
5th Annual “Rough and Ready”
Golf Scramble
June 3rd, 2017
The Sycamore Country Club
38 Tompkins Rd Ravena, NY 12143
$90.00 per Golfer
$360.00 per Team
Fee includes: Greens Fees and Cart
Lunch at Registration
Dinner Reception
Beverages
TOURNAMENT WILL BE LIMITED
TO THE FIRST 100 PAID
GOLFERS. REGISTRATION WITH
NO PAYMENT DOES NOT
GUARANTEE A SPOT ON THE DAY
OF THE OUTING.
For questions please contact
Mark Deyo at (518)-858-5259 or
Patti Westervelt at (518)-888-6125 or
email us at [email protected].
Golfer #2
Name:
Address:
Email:
Golfer #3
Name:
Address:
Email:
Golfer #4
Name:
Address:
Email:
Dinner Only Guest @ $25.00
Name
Please include a copy of this form with payment.
All checks can be made out to the
Coeymans Fire Company c/o Golf Outing
and mailed to
PO Box 55 Coeymans, NY 12045.
Please return form and payment by May 5th, 2017.
Thank you very much for your participation.