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REGISTRATION DEADLINE: DEC 12TH, 3PM

$400/TEAM INCLUDES: GREEN FEE, CART, LUNCH, 2 DRINK TICKETS

*PERSONAL CARTS ’S WELCOME*

BASED ON 20 TEAMS REVENGE 1ST - $1200 TEAM 4 PERSON SCRAMBLE 2ND - $1000 TEAM 3RD – $800 TEAM SATURDAY DECEMBER 14TH 4TH – $600 TEAM 5TH – $400 TEAM

10:00 AM SHOTGUN START

Details: $50 GIFT CERTIFICATES 4 Person Scramble (4) CLOSEST TO THE PIN

- One per team member per 9 must be used - Handicapped using USGA recommendations - 20% A, 15% B, 10% C, 5% D

- Handicaps based on played RIVERSIDE COURSE Tees: Blue - Under 55 White - 65+ 302 McCright Dr. Yellow - 55+ Red - 75+ Victoria, TX 77901 361-573-4521 www.playriversidegc.com PRIZE AMOUNTS DETERMINED BY NUMBER OF TOURNAMENT ENTRIES. Rolando Hernandez, PGA Head Golf Professional [email protected]

4-PERSON SCRAMBLE REGISTRATION FORM

DECEMBER 14TH, 2019 Fee: $400/team Includes: Green Fee, Cart, Lunch, 2 Drink Tickets, & Team Skins FORMAT: 4 Person Scramble One shot per member must be used on front and back 9 Handicapped using USGA recommendations Handicaps based on tees played Closest to the Pin contests

PLAYER 1 INFORMATION Name: : Address: GHIN #: City: State: Verifying Course: Phone: Email: Course Phone: PLAYER 2 INFORMATION Name: Handicap: Address: GHIN #: City: State: Verifying Course: Phone: Email: Course Phone: PLAYER 3 INFORMATION Name: Handicap: Address: GHIN #: City: State: Verifying Course: Phone: Email: Course Phone: PLAYER 4 INFORMATION Name: Handicap: Address: GHIN #: City: State: Verifying Course: Phone: Email: Course Phone: PRIZES 1st - $1200 Team 4th - $600 Team 2nd - $1000 Team 5th - $400 Team 3rd - $800 Team Closest to the Pin

Amounts based on full field of 20 teams – Awarded at the conclusion of play 10 TEAMS NEEDED TO PLAY 20 TEAMS MAX PAID ENTRIES GUARANTEE ENTRY

CASH OR CHECKS ONLY MAKE CHECKS PAYABLE TO: RIVERSIDE Mail entries or drop off at: Attn: Rolando Hernandez 302 McCright Dr. Victoria, TX 77901

Registration Deadline: December 12th @ 3pm