1. sports
2. golf

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 [email protected].
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
CITYSTATEZIP
LHSA Scramble Honorees
PRIMARY PHONEEMAIL
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? ____
$ ________________________