W W W. S I L V E R L A K E C C . C O M / F A L L S E N I O R S C R A M B L E 7 0 8 . 3 4 9 . 6 9 4 0 X 4

WEDNESDAY, OCTOBER 8TH

FALL SENIOR SCRAMBLE

TIME: 10AM Shotgun Start 9AM Breakfast Rolls & Coffee

ENTRY: Entries accepted online and at the Pro Shop through Sunday, September 28th or when field is full.

ENTRY FEE: $70 per player. Includes: greens fees, gas cart, on course refreshments, coffee & breakfast rolls, dinner buffet, prizes

ELIGIBILITY: 4 Man Scramble.

Minimum Age of 55 as of October 8th.

No Handicap Restriction.

Teams will be assigned to flights based on the total age of each group.

PRIZING: Over $2,000 in raffle prizes.

Prizes awarded in each Flight.

-Team Prizes -Longest Drive

-Closest to the Pin

• Fill out Entry Form completely. • Submit Form and Payment to SLCC.*Note: Entries will be accepted until field is full. If entry is received after field is full, we will contact you.

PLAYER #1: ___________________________________________________

CITY: ____________________________ STATE: _______ ZIP: __________

PHONE: ____________________ *EMAIL: ___________________________

AGE AS OF 10/08/14: _________ HOME COURSE: __________________

PLAYER #2: ___________________________________________________

CITY: ____________________________ STATE: _______ ZIP: __________

PHONE: ____________________ *EMAIL: ___________________________

AGE AS OF 10/08/14: _________ HOME COURSE: __________________

PLAYER #3: ___________________________________________________

CITY: ____________________________ STATE: _______ ZIP: __________

PHONE: ____________________ *EMAIL: ___________________________

AGE AS OF 10/08/14: _________ HOME COURSE: __________________

PLAYER #4: ___________________________________________________

CITY: ____________________________ STATE: _______ ZIP: __________

PHONE: ____________________ *EMAIL: ___________________________

AGE AS OF 10/08/14: _________ HOME COURSE: __________________

I Don’t Have a Team But Want to Play (check box)

W W W. S I L V E R L A K E C C . C O M 7 0 8 . 3 4 9 . 6 9 4 0 X 4

ENTRY FORMFALL SENIOR SCRAMBLE

If paying by credit card:

NAME ON CARD: ______________________________________________ADDRESS: ____________________________________________________CITY: ___________________________ STATE: ______ ZIP: ____________PHONE: _________________________ EMAIL: ______________________

Credit Card Number:

_______________________________EXP DATE: ___________ SEC. CODE ______

-ENTRY FEE-$70 Per Person

-REGISTRATION-Submit Entry Form at

SLCC Pro Shop

-OR-

Email forms to proshop@silverlakecc.com (include CC information)