4th Annual Benefit Golf Tournament
Saturday, June 15, 2013
Registration: 9:00am
Shotgun Start: 10:00am
Hoxie Golf Club
Golf Course
West Sheridan Avenue
Hoxie, KS
The tournament format is an 18-hole twoperson scramble open to men and women.
The Hoxie Golf Club Golf Course is a ninehole course. Teams will play two rounds.
Women’s tees will be available.
The tournament will be followed by a
raffle.
Player Information:
Fee: $50 per golfer
Golfer #1________________________
Includes green fees, lunch, refreshments and
door prizes.
Address:________________________
City, State, ZIP:___________________
Donations
Can’t play that day? Donate instead!
Donations to, and sponsorships of the SCHC
benefit golf tournament are tax deductible as
a gift to a not-for-profit organization. SCHC
will acknowledge your gift and issue you a
receipt. Please make checks payable to
Sheridan County Health Complex with
‘Golf Tournament’ in the memo space.
Questions?
Limited to the first 54 teams – 108 players.
Registrations will be accepted on a first
come, first serve basis.
Contact: Steve Granzow, CEO at
785.675.3281.
sgranzow@sheridan.hpmin.com
Par 3s
A chance to win $10,000 for a hole-in-one
on 18 with a variety of prizes on holes 5, 9
& 14 including golf and electronics
equipment and airline tickets for two.
Sponsored by:
Kansas Health Insurance Cooperative
Registration
Tournament Sponsors:
John Harris, CPA
First State Bank
HIC Agency
Hoxie Implement
NexTech
Hutton Construction
Medova
Phone #_________________________
Email:__________________________
Golfer #2________________________
Payment Information
Donation
___________
Total Golfers@ $50
___________
Total Enclosed:
___________
Please make checks payable to Sheridan
County Health Complex with ‘Golf
Tournament’ written in the memo space.
Please return this form by June 10th
Mail to:
SCHC * P.O. Box 167 * Hoxie, KS 67740
Proceeds from the tournament will be used
to purchase an automatic dispensing cabinet.